Smith, C orcid.org/0000-0002-0184-3590, Hewison, J orcid.org/0000-0003-3026-3250, West, RM orcid.org/0000-0001-7305-3654 et al. (2 more authors) (2020) Understanding patterns of care for musculoskeletal patients using routinely collected National Health Service data from general practices in England. Health Informatics Journal, 26 (4). pp. 2470-2484. ISSN 1460-4582
Abstract
Musculoskeletal conditions are extremely common and represent a costly and growing problem in the United Kingdom. Understanding patterns of care and how they vary between individual patients and patient groups is necessary for effective and efficient disease management. In this article, we present a novel approach to understanding patterns of care for musculoskeletal patients in which trajectories are constructed from clinical and administrative data that are routinely collected by clinicians and healthcare professionals. Our approach is applied to routinely collected National Health Service data for musculoskeletal patients who were registered to a set of general practices in England and highlights both known and previously unreported variations in the prescribing of opioid analgesics by gender and presence of pre-existing depression. We conclude that the application of our approach to routinely collected National Health Service data can extend the dimensions over which patterns of care can be understood for musculoskeletal patients and for patients with other long-term conditions.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © The Author(s) 2020. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
Keywords: | electronic health records, general practice, musculoskeletal disease, patterns of care |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Institute of Rheumatology & Musculoskeletal Medicine (LIRMM) (Leeds) > Musculoskeletal Medicine & Imaging (Leeds) > RMMI Research and Support (LIRMM) The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Health Sciences (Leeds) > Centre for Health Services Research (Leeds) |
Funding Information: | Funder Grant number West and South Yorkshire and Bassetlaw RCF-2014-005 |
Depositing User: | Symplectic Publications |
Date Deposited: | 02 Apr 2020 11:27 |
Last Modified: | 25 Jun 2023 22:13 |
Status: | Published |
Publisher: | SAGE Publications |
Identification Number: | 10.1177/1460458220907431 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:159078 |