Assessing primary care data quality
International Journal of Health Care Quality Assurance
ISSN: 0952-6862
Article publication date: 16 April 2018
Abstract
Purpose
The purpose of this paper is to assess National Medical Care Survey data quality.
Design/methodology/approach
Data completeness and representativeness were computed for all observations while other data quality measures were assessed using a 10 per cent sample from the National Medical Care Survey database; i.e., 12,569 primary care records from 189 public and private practices were included in the analysis.
Findings
Data field completion ranged from 69 to 100 per cent. Error rates for data transfer from paper to web-based application varied between 0.5 and 6.1 per cent. Error rates arising from diagnosis and clinical process coding were higher than medication coding. Data fields that involved free text entry were more prone to errors than those involving selection from menus. The authors found that completeness, accuracy, coding reliability and representativeness were generally good, while data timeliness needs to be improved.
Research limitations/implications
Only data entered into a web-based application were examined. Data omissions and errors in the original questionnaires were not covered.
Practical implications
Results from this study provided informative and practicable approaches to improve primary health care data completeness and accuracy especially in developing nations where resources are limited.
Originality/value
Primary care data quality studies in developing nations are limited. Understanding errors and missing data enables researchers and health service administrators to prevent quality-related problems in primary care data.
Keywords
Acknowledgements
The authors thank the Health Ministry Director-General of Health, Malaysia, for permission to publish the findings and the Institute for Health Systems Research for allowing access to the National Health and Morbidity Survey data. The authors also thank the public and private primary care clinic doctors for participating in this survey, and the National Medical Care Survey project team for contributing to data collection and data entry.
Citation
Lim, Y.M.F., Yusof, M. and Sivasampu, S. (2018), "Assessing primary care data quality", International Journal of Health Care Quality Assurance, Vol. 31 No. 3, pp. 203-213. https://doi.org/10.1108/IJHCQA-08-2016-0111
Publisher
:Emerald Publishing Limited
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