Research methodology: coding perceived morbidity in general practice—an evaluation of the read classification and the international classification of primary care (ICPC)

1997 ◽  
Vol 6 (5) ◽  
pp. 325-330 ◽  
Author(s):  
J. P. Connolly ◽  
H. McGavock ◽  
K. Wilson-Davis
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Research Methodology ◽  
International Classification ◽  
Perceived Morbidity

Diagnosing somatisation disorder (P75) in routine general practice using the International Classification of Primary Care

2010 ◽  
Vol 69 (3) ◽  
pp. 267-277 ◽  
Author(s):  
Rainer Schaefert ◽  
Gunter Laux ◽  
Claudia Kaufmann ◽  
Dieter Schellberg ◽  
Regine Bölter ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practice ◽  
International Classification ◽  
Somatisation Disorder

scholarly journals Reliability and validity of ICPC-2-R encoding by medical students

2018 ◽  
Vol 13 (40) ◽  
pp. 1-6
Author(s):  
Leonardo Ferreira Fontenelle ◽  
Álvaro Damiani Zamprogno ◽  
André Filipe Lucchi Rodrigues ◽  
Lorena Camillato Sirtoli ◽  
Natália Josiele Cerqueira Checon ◽  
...  
Keyword(s):  
Primary Care ◽  
Medical Students ◽  
Reliability And Validity ◽  
International Classification ◽  
Free Text ◽  
Reason For Encounter ◽  
Community Physician ◽  
In The Beginning ◽  
Reasons For Encounter

Objective: To estimate how reliably and validly can medical students encode reasons for encounter and diagnoses using the International Classification of Primary Care, revised 2nd edition (ICPC-2-R). Methods: For every encounter they supervised during an entire semester, three family and community physician teachers entered the reasons for encounter and diagnoses in free text into a form. Two of four medical students and one teacher encoded each reason for encounter or diagnosis using the ICPC-2-R. In the beginning of the study, two three-hour workshops were held, until the teachers were confident the students were ready for the encoding. After all the reasons for encounter and the diagnoses had been independently encoded, the seven encoders resolved the definitive codes by consensus. We defined reliability as agreement between students and validity as their agreement with the definitive codes, and used Gwet’s AC1 to estimate this agreement. Results: After exclusion of encounters encoded before the last workshop, the sample consisted of 149 consecutive encounters, comprising 262 reasons for encounter and 226 diagnoses. The encoding had moderate to substantial reliability (AC1, 0.805; 95% CI, 0.767–0.843) and substantial validity (AC1, 0.864; 95% CI, 0.833–0.891). Conclusion: Medical students can encode reasons for encounter and diagnoses with the ICPC-2-R if they are adequately trained.

scholarly journals Laying the foundation for a core set of the International Classification of Functioning, Disability and Health for community-dwelling adults aged 75 years and above in general practice: a study protocol

BMJ Open ◽  
2018 ◽  
Vol 8 (8) ◽  
pp. e024274
Author(s):  
Johanna Tomandl ◽  
Stephanie Book ◽  
Susann Gotthardt ◽  
Stefan Heinmueller ◽  
Elmar Graessel ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Community Dwelling ◽  
International Classification ◽  
Functional Health ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Core Set ◽  
Community Dwelling Older Adults

IntroductionWith the medical focus on disease, the problem of overdiagnosis inevitably increases with ageing. Considering the functional health of patients might help to discriminate between necessary and unnecessary medicine. The International Classification of Functioning, Disability and Health (ICF) is an internationally recognised tool for describing functional health. However, it is too detailed to be used in primary care practices. Consequently, the aim of this study is to identify relevant codes for an ICF core set for community-dwelling older adults (75 years and above) in primary care.Methods and analysisThe study will follow the methodology proposed by the ICF Research Branch to identify relevant concepts from different perspectives: (1) Research perspective: A systematic review of studies focusing on functional health in old age will be conducted in different databases. Relevant concepts will be extracted from the publications. (2) Patients’ perspective: Relevant areas of functioning and disability will be identified conducting qualitative interviews and focus groups with community-dwelling older persons. The interviews will be transcribed verbatim and analysed using the documentary method of interpretation. (3) Experts’ perspective: An online survey with open-ended questions will be conducted. Answers will be analysed using the qualitative content analysis of Mayring. (4) Clinical perspective: A cross-sectional empirical study will be performed to assess the health status of community-dwelling older adults using the extended ICF checklist and other measurement tools.Relevant concepts identified in each study will be linked to ICF categories resulting in four preliminary core sets.Ethics and disseminationEthical approval for the study was obtained (90_17B). All participants will provide written informed consent. Data will be pseudonymised for analysis. Results will be disseminated by conference presentations and journal publications.Trial registration numberProjektdatenbank Versorgungsforschung Deutschland: VfD_17_003833,Clinicaltrials.gov:NCT03384732and PROSPERO: CRD42017067784.

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