Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/9818

Appears in Collections:School of Health Sciences Journal Articles
Peer Review Status: Refereed
Title: Developing a Longitudinal Database of Routinely Recorded Primary Care Consultations Linked to Service Use and Outcome Data
Authors: Williams, Brian
Dowell, Jon
Humphris, Gerry
Themessl-Huber, Markus
Rushmer, Rosemary
Ricketts, Ian
Boyle, Paul
Sullivan, Frank M
Contact Email: brian.williams@stir.ac.uk
Keywords: Audio recording
Primary care
Consultations
UK
Scottish clinical interactions project (SCIP)
Issue Date: Feb-2010
Publisher: Elsevier
Citation: Williams B, Dowell J, Humphris G, Themessl-Huber M, Rushmer R, Ricketts I, Boyle P & Sullivan FM (2010) Developing a Longitudinal Database of Routinely Recorded Primary Care Consultations Linked to Service Use and Outcome Data, Social Science and Medicine, 70 (3), pp. 473-478.
Abstract: The primary care consultation provides access to the majority of health care services and is central to obtaining diagnoses, treatment and ongoing management of long-term conditions. This paper reports the findings of an interdisciplinary feasibility study to explore the benefits and practical, technical and ethical challenges (and solutions) of creating a longitudinal database of recorded GP consultations in Tayside, Scotland which could be linked to existing routine data on intermediate and long-term health outcomes. After consultation we attempted to recruit and audio-record the consultations of all patients attending three general practices over a two week period. Background patient data, and patient and staff experiences of participation were also collected. Eventually, two practices participated with 77% of patients approached agreeing to participate. The findings suggest that the perceived integrity of the consultation was preserved. The overwhelming majority of patients believed that recording was worthwhile and did not feel it impacted on communication or the treatment they received; 93% indicated they would be willing to have subsequent consultations recorded and 81% would recommend participation to a friend. Staff had similar beliefs but raised concerns about potential increases in workload, confidentiality issues and ease of software use. We conclude that practice participation could be increased by providing safeguards on data use, financial reward, integrated recording software, and procedures to lessen the impact on workload. The resulting Scottish Clinical Interactions Project (SCIP) would provide the largest and most detailed longitudinal insight into real world medical consultations in the world, permitting the linking of consultation events and practices to subsequent outcomes and behaviours.
Type: Journal Article
URI: http://hdl.handle.net/1893/9818
DOI Link: http://dx.doi.org/10.1016/j.socscimed.2009.10.025
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Affiliation: NMAHP Research
University of Dundee
University of St Andrews
University of Dundee
University of St Andrews
University of Dundee
University of St Andrews
University of Dundee

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