General Practice Extraction Service
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General Practice Extraction Service
The General Practice Extraction Service (GPES or GP Extraction Service) was a British health service outcomes research computer database that collates statistical aggregated data (demographic cohorts) from individual medical records of GPs in England, for purposes independent of an individual's immediate health, such as public health research. It may conflict with sensitive medical confidentiality. It is similar to bioinformatics, epidemiology, and a health information exchange. History With advances in computing technology and databases, many more types of public health research, including time-consuming cohort studies, are now possible; sifting through health data is quicker. Medical conditions can be cross-referenced with lifestyle. The GPES began in 2007. The NHS has not had a good record for computer systems. The NHS National Programme for IT, a complete digital overhaul of the NHS's medical records, became NHS Connecting for Health, and then partly by the Health and Social Ca ...
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Outcomes Research
Outcomes research is a branch of public health research which studies the end results ( outcomes) of the structure and processes of the health care system on the health and well-being of patients and populations. According to one medical outcomes and guidelines source book - 1996, ''Outcomes research'' includes health services research that focuses on identifying variations in medical procedures and associated health outcomes. Though listed as a synonym for the National Library of Medicine MeSH term "Outcome Assessment (Health Care)", outcomes research may refer to both health services research and healthcare outcomes assessment, which aims at Health technology assessment, decision making, and policy analysis through systematic evaluation of quality of care, access, and effectiveness. Description Outcomes research is applied to clinical and population based research that seeks to study and optimize the end results of healthcare in terms of benefits to the patient and society. The i ...
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Disaster Recovery
Disaster recovery is the process of maintaining or reestablishing vital infrastructure and systems following a natural or human-induced disaster, such as a storm or battle.It employs policies, tools, and procedures. Disaster recovery focuses on the information technology (IT) or technology systems supporting critical business functions as opposed to business continuity. This involves keeping all essential aspects of a business functioning despite significant disruptive events; it can therefore be considered a subset of business continuity. Disaster recovery assumes that the primary site is not immediately recoverable and restores data and services to a secondary site. IT service continuity IT Service Continuity (ITSC) is a subset of business continuity planning (BCP) that focuses on Recovery Point Objective (RPO) and Recovery Time Objective (RTO). It encompasses IT disaster recovery planning and wider IT resilience planning. It also incorporates IT infrastructure and services rela ...
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Institute Of Public Health
National public health institutes (NPHIs) are science-based governmental organizations that serve as a focal point for a country's public health efforts, as well as a critical component of global disease prevention and response systems. Among the better known NPHIs are the United States Centers for Disease Control and Prevention, and the Chinese Center for Disease Control and Prevention. Typical core functions of NPHIs include surveillance for diseases and injuries, as well as risk factors; epidemiologic investigations of health problems; public health research; and response to public health emergencies. Recent public health challenges, such as the COVID-19 pandemic, may have significant impacts on the missions and structures of NPHIs. Although these functions are in many countries dispersed among several agencies, in recent years some countries have reorganized their public health systems to consolidate functions. For example, following the outbreak of severe acute respiratory syn ...
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Healthcare In The United Kingdom
Healthcare in the United Kingdom is a devolved matter, with England, Northern Ireland, Scotland and Wales each having their own systems of publicly funded healthcare, funded by and accountable to separate governments and parliaments, together with smaller private sector and voluntary provision. As a result of each country having different policies and priorities, a variety of differences have developed between these systems since devolution. * Healthcare in England * Healthcare in Wales * Healthcare in Scotland * Healthcare in Northern Ireland Despite there being separate health services for each country, the performance of the National Health Service (NHS) across the UK can be measured for the purpose of making international comparisons. In a 2017 report by the Commonwealth Fund ranking developed-country healthcare systems, the United Kingdom was ranked the best healthcare system in the world overall and was ranked the best in the following categories: Care Process (i.e. effect ...
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Public Health Observatory
A public health observatory is an organization or program that monitors and reports on the public health of a particular region or topic in order to inform health policy. Depending on the geographical area or focus of work, it may also be called a "regional health observatory", "urban health observatory", or "national health observatory". In 2016, a study in the ''European Journal of Public Health'' catalogued at least 150 public health observatories worldwide, and that their main functions were reporting on health, performing data analysis, and supporting evidence-based decision-making. A public health observatory does not generate primary data itself, and instead focuses on synthesizing and collecting existing data. Environmental health, diet, recreation, outdoor education, exercise and other concerns are explored by some public health observatories. Examples International * The Global Health Observatory, established and operated by the World Health Organization (WHO). ...
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The Health Improvement Network
The Health Improvement Network (THIN) is a large database of anonymised electronic medical records collected at primary care clinics throughout the UK. The THIN database is owned and managed by The Health Improvement Network Ltd in collaboration with In Practice Systems Ltd. The Health Improvement Network Ltd & In Practice Systems Ltd are both subsidiary companies oCegedim SA History The THIN database is similar in structure and content to the Clinical Practice Research Datalink (CPRD, previously known as GPRD), which is now managed by the United Kingdom Medicines and Healthcare products Regulatory Agency ( MHRA). Between 1994 and 2002, EPIC (UK), a not-for-profit company, held a non-exclusive licence to use GPRD for research benefitting public health. On the expiry of that licence, THIN was developed by EPIC as an alternative to the GPRD, and a substantial number of primary care practitioners now contribute data to both resources. In 2005 EPIC was acquired by Cegedim, a global te ...
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Clinical Practice Research Datalink
The Clinical Practice Research Datalink (CPRD) is an observational and interventional research service that operates as part of the Department of Health (United Kingdom), UK Department of Health. It is jointly funded by the National Institute for Health and Care Research(NIHR) and the Medicines and Healthcare products Regulatory Agency (MHRA). CPRD is working closely with the extensive primary care, topic specific and comprehensive NIHR research networks and with Information Centre for Health and Social Care, NHS Digital. History Value Added Information Medical Products The programme that would develop into the current organisation was initially developed by an Essex general practitioner, Dr Alan Dean (GP), Alan Dean, to facilitate day-to-day management of his own general practice, in collaboration with IT staff at the BATA shoe factory in East Tilbury near to his practice. Early programmers included a Czech programmer Jan Boda. In 1987 a venture capital company was set up, na ...
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Calculating Quality Reporting Service
A calculation is a deliberate mathematical process that transforms one or more inputs into one or more outputs or ''results''. The term is used in a variety of senses, from the very definite arithmetical calculation of using an algorithm, to the vague heuristics of calculating a strategy in a competition, or calculating the chance of a successful relationship between two people. For example, multiplying 7 by 6 is a simple algorithmic calculation. Extracting the square root or the cube root of a number using mathematical models is a more complex algorithmic calculation. Statistical estimations of the likely election results from opinion polls also involve algorithmic calculations, but produces ranges of possibilities rather than exact answers. To ''calculate'' means to determine mathematically in the case of a number or amount, or in the case of an abstract problem to deduce the answer usi ...
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SNOMED CT
SNOMED CT or SNOMED Clinical Terms is a systematically organized computer-processable collection of medical terms providing codes, terms, synonyms and definitions used in clinical documentation and reporting. SNOMED CT is considered to be the most comprehensive, multilingual clinical healthcare terminology in the world. The primary purpose of SNOMED CT is to encode the meanings that are used in health information and to support the effective clinical recording of data with the aim of improving patient care. SNOMED CT provides the core general terminology for electronic health records. SNOMED CT comprehensive coverage includes: clinical findings, symptoms, diagnoses, procedures, body structures, organisms and other etiologies, substances, pharmaceuticals, devices and specimens. SNOMED CT is maintained and distributed by SNOMED International, an international non-profit standards development organization, located in London, UK. SNOMED International is the trading name of the Intern ...
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Read Code
Read codes are a clinical terminology system that was in widespread use in General Practice in the United Kingdom until around 2018, when NHS England switched to using SNOMED CT. Read codes are still in use in Scotland and in England are permitted for use in NHS secondary care settings, such as dentistry and mental health care until 31 March 2020. Read codes support detailed clinical encoding of multiple patient phenomena including: occupation; social circumstances; ethnicity and religion; clinical signs, symptoms and observations; laboratory tests and results; diagnoses; diagnostic, therapeutic or surgical procedures performed; and a variety of administrative items (e.g. whether a screening recall has been sent and by what communication modality, or whether an item of service fee has been claimed). It therefore includes but goes significantly beyond the expressivity of a diagnosis coding system. History Since its origins in the 1980s, the system has evolved through three major te ...
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Social Structure Of The United Kingdom
The social structure of the United Kingdom has historically been highly influenced by the concept of social class, which continues to affect British society today. British society, like its European neighbours and most societies in world history, was traditionally (before the Industrial Revolution) divided hierarchically within a system that involved the hereditary transmission of occupation, social status and political influence. Since the advent of industrialisation, this system has been in a constant state of revision, and new factors other than birth (for example, education) are now a greater part of creating identity in Britain. Although definitions of social class in the United Kingdom vary and are highly controversial, most are influenced by factors of wealth, occupation, and education. Until the Life Peerages Act 1958, the Parliament of the United Kingdom was organised on a class basis, with the House of Lords representing the hereditary upper class and the House of Commons ...
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IT Service Management
Information technology service management (ITSM) is the activities that are performed by an organization to design, build, deliver, operate and control information technology (IT) services offered to customers. Differing from more technology-oriented IT management approaches like network management and IT systems management, IT service management is characterized by adopting a process approach towards management, focusing on customer needs and IT services for customers rather than IT systems, and stressing continual improvement. The CIO WaterCoolers' annual ITSM report states that business uses ITSM "mostly in support of customer experience (35%) and service quality (48%)." Context As a discipline, ITSM has ties and common interests with other IT and general management approaches, information security management and software engineering. Consequently, IT service management frameworks have been influenced by other standards and adopted concepts from them, e.g. CMMI, ISO 9000 ...
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