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Related Experiment Videos

Monitoring mortality in general practice in Grampian, Scotland.

A W Nimmo1, G Peterkin, D R Coid

  • 1Department of Public Health, Grampian NHS Board, Summerfield House, 2 Eday Road, Aberdeen.

Scottish Medical Journal
|June 24, 2004
PubMed
Summary

General practices rarely analyze mortality data, despite its public health importance. A study in Grampian found few practices with excess mortality, suggesting nursing home presence may skew results.

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Area of Science:

  • Public Health
  • General Practice
  • Health Information Science

Background:

  • Information on mortality and morbidity distribution in general practice is scarce and not readily accessible.
  • Population mortality assessment is a standard public health measure but rarely applied to general practice populations.
  • Mortality data can inform clinical audits, identify healthcare quality issues, and suggest environmental hazards.

Purpose of the Study:

  • To measure and analyze mortality experience in all general practices in Grampian from 1991 to 1999.
  • To assess the utility of mortality data for general practices and public health authorities.
  • To investigate factors that may influence mortality data, such as the presence of nursing homes.

Main Methods:

  • Collected and analyzed mortality data for all general practices in Grampian between 1991 and 1999.

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  • Notified practices of their actual and expected mortality rates for the specified periods.
  • Solicited comments from general practices regarding their mortality data.

    • Main Results:

    • Only three general practices experienced excess mortality in both 1991-1995 and 1996-1999 periods.
    • A minority of practices provided comments on their mortality results.
    • A high concentration of nursing homes within a practice area may potentially skew mortality data.

    Conclusions:

    • General practices infrequently engage with mortality data analysis.
    • The presence of nursing homes is a significant factor requiring consideration in future mortality data analysis.
    • Future methodologies for recording deaths in general practice should incorporate qualitative aspects of patient end-of-life care and account for demographic factors like nursing home density.