Please use this identifier to cite or link to this item:
https://www.um.edu.mt/library/oar/handle/123456789/45803
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Soler, Jean Karl | - |
dc.contributor.author | Okkes, Inge | - |
dc.contributor.author | Oskam, Sibo | - |
dc.contributor.author | Boven, Kees van | - |
dc.contributor.author | Zivotic, Predrag | - |
dc.contributor.author | Jevtic, Milan | - |
dc.contributor.author | Dobbs, Frank | - |
dc.contributor.author | Lamberts, Henk | - |
dc.date.accessioned | 2019-08-22T08:38:17Z | - |
dc.date.available | 2019-08-22T08:38:17Z | - |
dc.date.issued | 2012 | - |
dc.identifier.citation | Soler, J. K., Okkes, I., Oskam, S., van Boven, K., Zivotic, P., Jevtic, M.,...Lamberts, H. (2012). An international comparative family medicine study of the Transition Project data from the Netherlands, Malta, Japan and Serbia. An analysis of diagnostic odds ratios aggregated across age bands, years of observation and individual practices. Family Practice, 29(3), 315-331. | en_GB |
dc.identifier.uri | https://www.um.edu.mt/library/oar/handle/123456789/45803 | - |
dc.description.abstract | Introduction: This is a study of the process of diagnosis in family medicine (FM) in four practice populations from the Netherlands, Malta, Serbia and Japan. Diagnostic odds ratios (ORs) for common reasons for encounter (RfEs) and episode titles are used to study the process of diagnosis in international FM and to test the assumption that data can be aggregated across different age bands, practices and years of observation. Methodology: Participating family doctors (FDs) recorded details of all their patient contacts in an episode of care (EoC) structure using the International Classification of Primary Care (ICPC). RfEs presented by the patient and the diagnostic labels (EoC titles) recorded for each encounter were classified with ICPC. The relationships between RfEs and episode titles were expressed as ORs using Bayesian probability analysis to calculate the posterior (post-test) odds of an episode title given an RfE, at the start of a new EoC. Results: The distributions of diagnostic ORs from the four population databases are tabled across age groups, years of observation and practices. Conclusions: There is a lot of congruence in diagnostic process and concepts between populations, across age groups, years of observation and FD practices, despite differences in the strength of such diagnostic associations. There is particularly little variability of diagnostic ORs across years of observation and between individual FD practices. Given our findings, it makes sense to aggregate diagnostic data from different FD practices and years of observation. Our findings support the existence of common core diagnostic concepts in international FM. | en_GB |
dc.language.iso | en | en_GB |
dc.publisher | Oxford Academic | en_GB |
dc.rights | info:eu-repo/semantics/openAccess | en_GB |
dc.subject | Family medicine -- Comparative studies | en_GB |
dc.subject | Family medicine -- Practice | en_GB |
dc.subject | Family medicine -- Databases | en_GB |
dc.subject | Medical records -- Data processing | en_GB |
dc.subject | Diagnosis -- Data processing | en_GB |
dc.subject | Family medicine -- Research -- Malta | en_GB |
dc.subject | Family medicine -- Research -- Netherlands | en_GB |
dc.subject | Family medicine -- Research -- Japan | en_GB |
dc.subject | Family medicine -- Research -- Serbia | en_GB |
dc.title | An international comparative family medicine study of the Transition Project data from the Netherlands, Malta, Japan and Serbia. An analysis of diagnostic odds ratios aggregated across age bands, years of observation and individual practices | en_GB |
dc.type | article | en_GB |
dc.rights.holder | The copyright of this work belongs to the author(s)/publisher. The rights of this work are as defined by the appropriate Copyright Legislation or as modified by any successive legislation. Users may access this work and can make use of the information contained in accordance with the Copyright Legislation provided that the author must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the prior permission of the copyright holder. | en_GB |
dc.contributor.corpauthor | Transition Project | en_GB |
dc.description.reviewed | peer-reviewed | en_GB |
dc.identifier.doi | 10.1093/fampra/cmr100 | - |
dc.publication.title | Family Practice | en_GB |
Appears in Collections: | Scholarly Works - ERCMedGen |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
An_international_comparative_family_medicine_study_of_the_Transition_Project_data_from_the _Netherlands_Malta_Japan_and_Serbia_2012.pdf | 318.25 kB | Adobe PDF | View/Open |
Items in OAR@UM are protected by copyright, with all rights reserved, unless otherwise indicated.