Extracting knowledge from a large primary health care database using a knowledge-based statistical approach

1990 ◽  
Vol 14 (4) ◽  
pp. 213-225 ◽  
Author(s):  
Shamsul Chowdhury ◽  
Rolf Linnarsson ◽  
Anders Wallgren ◽  
Britt Wallgren ◽  
Ove Wigertz
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Statistical Approach ◽  
Knowledge Based ◽  
Primary Health ◽  
Health Care Database ◽  
Care Database ◽  
Large Primary

A strategy for assessment and validation of major bleeding cases in a primary health care database in Spain

2021 ◽  
Author(s):  
Airam Burgos‐Gonzalez ◽  
Verónica Bryant ◽  
Miguel Angel Maciá‐Martinez ◽  
Consuelo Huerta
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Major Bleeding ◽  
Primary Health ◽  
Health Care Database ◽  
Care Database

scholarly journals Data Resource Profile: MedicineInsight, an Australian national primary health care database

2019 ◽  
Author(s):  
Doreen Busingye ◽  
Christopher Gianacas ◽  
Allan Pollack ◽  
Kendal Chidwick ◽  
Alistair Merrifield ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Data Resource ◽  
Primary Health ◽  
Health Care Database ◽  
Care Database

Metabolic syndrome in outpatients receiving antipsychotic therapy in routine clinical practice: A cross-sectional assessment of a primary health care database

2008 ◽  
Vol 23 (2) ◽  
pp. 100-108 ◽  
Author(s):  
Antoni Sicras-Mainar ◽  
Milagrosa Blanca-Tamayo ◽  
Javier Rejas-Gutiérrez ◽  
Ruth Navarro-Artieda
Keyword(s):  
Blood Pressure ◽  
Health Care ◽  
Metabolic Syndrome ◽  
Body Mass Index ◽  
Primary Health Care ◽  
Hdl Cholesterol ◽  
Cross Sectional ◽  
Primary Health ◽  
Health Care Database ◽  
Care Database

AbstractObjectiveTo determine the prevalence of metabolic syndrome (MS) in outpatients treated with antipsychotics included in a primary-health-care database.MethodsA cross-sectional study was carried out assessing an administrative outpatients claim-database from 5 primary-health-centers. Subjects on antipsychotics for more than 3 months were included. The control group was formed by the outpatients included in the database without exposition to any antipsychotic drugs. MS was defined according to the modified NCEP-ATP III criteria, and required confirmation of at least 3 of the 5 following components: body mass index >28.8 kg/m2, triglycerides >150 mg/ml, HDL-cholesterol <40 mg/ml (men)/<50 mg/ml (women), blood pressure >130/85 mmHg, and fasting serum glucose >110 mg/dl.ResultsWe identified 742 patients [51.5% women, aged 55.1 (20.7) years] treated with first- or second-generation antipsychotics during 27.6 (20.3) months. Controls were 85.286 outpatients [50.5% women, aged 45.5 (17.7) years]. MS prevalence was significantly higher in subjects on antipsychotics: 27.0% (95% CI, 23.8–30.1%) vs. 14.4% (14.1–14.6%); age- and sex-adjusted OR = 1.38 (1.16–1.65, P < 0.001). All MS components, except high blood pressure, were significantly more prevalent in the antipsychotic group, particularly body mass index >28.8 kg/m2: 33.0% (29.6–36.4%) vs. 17.8% (17.6–18.1%), adjusted OR = 1.63 (1.39–1.92, P < 0.001), and low HDL-cholesterol levels: 48.4% (44.8–52.0%) vs. 29.3% (29.0–29.6%); adjusted OR = 1.65 (1.42–1.93, P < 0.001). Compared with the reference population, subjects with schizophrenia or bipolar disorder (BD), but not dementia, showed a higher prevalence of MS.ConclusionsCompared with the general outpatient population, the prevalence of MS was significantly higher in patients with schizophrenia or BD treated with antipsychotics.

scholarly journals A New Paradigm of Primary Health Care in Kazakhstan: Personalized, Community-based, Standardized, and Technology-driven

2014 ◽  
Vol 3 (1) ◽  
Author(s):  
Almaz Sharman
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Personal Relationships ◽  
Innovative Technology ◽  
New Paradigm ◽  
Community Based ◽  
Sustainable Solutions ◽  
Knowledge Based ◽  
Healthcare Transition ◽  
Primary Health

This paper discusses the need for change from Kazakhstan’s current disease-centric healthcare paradigm to a new primary health and wellness-centric health care paradigm, technology-driven and based on personal relationships within a social context. While many different papers have been published about the importance of prevention and primary health care, few have focused on healthcare transition in Kazakhstan or other countries in Central Asia. The WHO’s historic 1978 Alma-Ata Declaration signed in Kazakhstan promoted the centrality of primary care to the provision of effective, efficient, and equitable health services. Modern technologies such as the Internet, social media, and portable medical devices democratize medicine, providing great opportunities to rethink the Alma-Ata Declaration and reinvent primary health care on an entirely new platform that is knowledge-based and technology-assisted. The new paradigm suggested for the future development of health in Central Asian region emphasizes personal relationships and encourages sustainable solutions created by communities. This paper also introduces HealthCity, a new project in Kazakhstan aiming at introducing private, community-based and standardized primary healthcare that is driven by SmartHealth innovative technology.

Non-Fatal Deliberate Self-Harm in Three Remote Indigenous Communities in Far North Queensland, Australia

Crisis ◽  
2019 ◽  
Vol 40 (6) ◽  
pp. 422-428 ◽  
Author(s):  
Chris Rouen ◽  
Alan R. Clough ◽  
Caryn West
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Center ◽  
Indigenous Communities ◽  
Indigenous Australians ◽  
Deliberate Self Harm ◽  
Health Care Center ◽  
Far North ◽  
Primary Health ◽  
Self Harm

Abstract. Background: Indigenous Australians experience a suicide rate over twice that of the general population. With nonfatal deliberate self-harm (DSH) being the single most important risk factor for suicide, characterizing the incidence and repetition of DSH in this population is essential. Aims: To investigate the incidence and repetition of DSH in three remote Indigenous communities in Far North Queensland, Australia. Method: DSH presentation data at a primary health-care center in each community were analyzed over a 6-year period from January 1, 2006 to December 31, 2011. Results: A DSH presentation rate of 1,638 per 100,000 population was found within the communities. Rates were higher in age groups 15–24 and 25–34, varied between communities, and were not significantly different between genders; 60% of DSH repetitions occurred within 6 months of an earlier episode. Of the 227 DSH presentations, 32% involved hanging. Limitations: This study was based on a subset of a larger dataset not specifically designed for DSH data collection and assesses the subset of the communities that presented to the primary health-care centers. Conclusion: A dedicated DSH monitoring study is required to provide a better understanding of DSH in these communities and to inform early intervention strategies.

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