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Download het supplement - KCE

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<strong>KCE</strong> reports vol. 30 S Inventaris van databanken gezondheidszorg 483<br />

homogeneous district clusters. These represent the new geographical<br />

framework from which the geographical spread of the network is checked. This<br />

network is subsequently corrected for such socio-demographic parameters as<br />

age, sex and occupation in order to match more closely the total population of<br />

Belgian general practitioners (GPs). The population covered by the network is<br />

estimated on the basis of the annual number of patient contacts. Application of<br />

the described procedures should result in a network allowing valid estimations<br />

for a number of health issues as seen by Belgian GPs.<br />

30.4.4 Registration items<br />

30.4.4.1 Life Style<br />

30.4.4.2 Health status<br />

Life style parameters are only registered when required for the study theme.<br />

E.g. alcohol abuse has been studied as a source of health problems. Other<br />

themes dealt with suicide attempt (1982-1983, 1990-1995, 2000-2001);<br />

intentional violence (2002-2004); drugs related problems (1984); sexual<br />

transmittable diseases (Gonorrhoea 1979-1980, Herpes genitalis 1986-1987,<br />

Syphilis 1979-1980); accidents where care was first administered at primary care<br />

level (1984-1986, 1995-1996, 2002).<br />

Again, the variables for health status depend on the theme to be studied. Since<br />

the primary but of the sentinel GP network is to collect epidemiologic data<br />

about important health problems, health status variables are always present.<br />

30.4.4.3 Health Care Use<br />

Most themes donÊt have any variables describing health care use. Yet, it<br />

becomes more common to include some information about health care use.<br />

Typically, this information deals with treatment parameters of the health care<br />

problem under study. However, this information is often non-quantitative.<br />

One specific example: Registration of all deaths (among patients aged 1 year or<br />

more) since 2005. In this registration the number of last contacts before<br />

death with the GP are collected up to 3 months before decease, the specific<br />

treatments or medical aids, initiatives of palliative care, last stay (rest home,<br />

hospital, home, palliative centre, other) and persons that delivered care.<br />

30.4.4.4 Quality of Care<br />

Again, the variables for quality of care depend on the theme to be studied:<br />

some may include some information here, most do not.<br />

30.4.4.5 General Information<br />

Only two items are commonly collected for every survey: date of birth and sex<br />

of the patient. Depending on the theme studied, more items may be collected,<br />

although it is rather unusual to collect socio-economical parameters. One<br />

example where more information is available is the current registration of all<br />

deaths (among patients aged 1 year or more) since 2005. This includes<br />

information about end-of-life decisions . This theme is in cooperation with Luc<br />

Deliens (Vrije Universiteit Brussel). The registration of all deaths includes an<br />

extended form to be filled in, including some socio-economic parameters

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