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Related Experiment Videos

Developing a large electronic primary care database (Doctors' Independent Network) for research.

Iain M Carey1, Derek G Cook, Stephen De Wilde

  • 1Department of Community Health Sciences, St George's Hospital Medical School, Cranmer Terrace, London SW17 0RE, UK. sgj450@sghms.ac.uk

International Journal of Medical Informatics
|June 3, 2004
PubMed
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The Doctors' Independent Network (DIN) database offers population-based clinical data comparable to the General Practice Research Database (GPRD). DIN uniquely includes socio-economic data, enabling analysis of health disparities in epidemiological research.

Area of Science:

  • Epidemiology
  • Health Services Research
  • Population Health Data

Background:

  • Primary care databases are vital for population health research.
  • Historically, these databases lacked individual-level socio-economic data.
  • The Doctors' Independent Network (DIN) database was developed to address this gap.

Purpose of the Study:

  • To describe the development of the DIN database.
  • To assess the validity and utility of DIN for epidemiological research.
  • To evaluate the inclusion of an individual-level socio-economic marker (ACORN).

Main Methods:

  • DIN database development and validation against the General Practice Research Database (GPRD).
  • External validity assessed by comparing demographic structure and prevalence rates of ischemic heart disease (IHD) and hay fever.

Related Experiment Videos

  • Socio-economic utility examined by analyzing IHD and hay fever prevalence trends by ACORN index.
  • Main Results:

    • DIN includes 1,827,361 patients from 142 practices (1992-2001), with age-sex structure matching England & Wales and GPRD.
    • Prevalence rates for treated IHD in DIN were highly comparable to GPRD.
    • IHD prevalence showed a higher odds ratio in 'striving' compared to 'thriving' ACORN areas; hay fever prevalence was inversely associated with ACORN.

    Conclusions:

    • The DIN database provides reliable period prevalence rates for common conditions, comparable to GPRD.
    • DIN's inclusion of a socio-economic index (ACORN) offers an advantage for health research.
    • DIN has the potential to enhance epidemiological and health services research, possibly replacing national morbidity surveys.