Reliability of central coding of patient reasons for encounter in general practice, using the International Classification of Primary Care

Objective to assess the accuracy, intra- and inter-coder reliability of secondary, centralised coding of patient reasons for encounter (RFEs) with the International Classification of Primary Care (ICPC). Design Almost 150,000 RFEs were secondarily coded with ICPC in a centralised central coding situ...

Celý popis

Uložené v:
Podrobná bibliografia
Vydané v:Journal of innovation in health informatics Ročník 7; číslo 1; s. 3 - 7
Hlavný autor: Helena Britt
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: BCS, The Chartered Institute for IT 01.05.1998
Predmet:
classification
family medicine
ICPC
reliability
ISSN:2058-4555, 2058-4563
On-line prístup:Získať plný text
Tagy: Pridať tag
Žiadne tagy, Buďte prvý, kto otaguje tento záznam!
Abstract Objective to assess the accuracy, intra- and inter-coder reliability of secondary, centralised coding of patient reasons for encounter (RFEs) with the International Classification of Primary Care (ICPC). Design Almost 150,000 RFEs were secondarily coded with ICPC in a centralised central coding situation by trained coders. Efforts were made to gain high coder reliability. A random sample of 2,369 RFEs was independently assessed for coding accuracy. A further sample of 162 RFEs were tested for inter-coder reliability by comparison with a gold standard and for intra-coder reliability by matched comparison of double coded RFEs. Setting primary health care. Subjects doctor_patient contact records. Main outcome measures Accuracy was qualitatively assessed as: absent; incorrect; acceptable but could be improved; correct. Inter- and intra-coder reliability: mean percentage correct scores calculated at ICPC chapter level, at individual rubric level and within each ICPC chapter. Results Only 1.8% of RFEs were missing, incorrect or needed improvement. Inter-coder reliability at ICPC chapter level was 91.7% and at rubric level, 81.8%. Intra-coder reliability was 96.2% at chapter level and 90.0% at rubric level. Reliability varied with ICPC chapter. Conclusion High coder reliability can be gained with ICPC in a central, secondary coding environment but training, an improved index and coding rules are required.
AbstractList Objective to assess the accuracy, intra- and inter-coder reliability of secondary, centralised coding of patient reasons for encounter (RFEs) with the International Classification of Primary Care (ICPC). Design Almost 150,000 RFEs were secondarily coded with ICPC in a centralised central coding situation by trained coders. Efforts were made to gain high coder reliability. A random sample of 2,369 RFEs was independently assessed for coding accuracy. A further sample of 162 RFEs were tested for inter-coder reliability by comparison with a gold standard and for intra-coder reliability by matched comparison of double coded RFEs. Setting primary health care. Subjects doctor_patient contact records. Main outcome measures Accuracy was qualitatively assessed as: absent; incorrect; acceptable but could be improved; correct. Inter- and intra-coder reliability: mean percentage correct scores calculated at ICPC chapter level, at individual rubric level and within each ICPC chapter. Results Only 1.8% of RFEs were missing, incorrect or needed improvement. Inter-coder reliability at ICPC chapter level was 91.7% and at rubric level, 81.8%. Intra-coder reliability was 96.2% at chapter level and 90.0% at rubric level. Reliability varied with ICPC chapter. Conclusion High coder reliability can be gained with ICPC in a central, secondary coding environment but training, an improved index and coding rules are required.
Author Helena Britt
Author_xml – sequence: 1
  fullname: Helena Britt
BookMark eNo9kMtKAzEUhoNUsNYu3ecBnJp70qUMXgoFRXQ9nMkkbcqYlMxU6Cv41M604uocPv7_P5drNIkpOoRuKVlQwbi6323D4lsHumCUXKApI9IUQio--e-lvELzrtsRQqgURko6RT_vrg1Qhzb0R5w8ti72GVpsUxPiZiR76MMAcXbQpdhhnzJ20aZD7F3GIeKNi2607DPYPlh3hw_d6O23Dq9GURwSUhwUZQtdF3ywJzCGv-XwBfmIS8juBl16aDs3_6sz9Pn0-FG-FOvX51X5sC4sNZoUteMSNIDSynPfMCa0pZYpYqgSS0YYr43XSlhKwBNr9eDSdKmMEIqa4VUztDrnNgl21f68QZUgVCeQ8qaCPBzSuorbhjDmnRWGiWHckjhuBPW8JhLq2vNfyt51Rg
CitedBy_id crossref_primary_10_1093_fampra_cmx132
crossref_primary_10_1007_s00586_011_2135_5
crossref_primary_10_1007_s00586_017_5178_4
ContentType Journal Article
DBID DOA
DOI 10.14236/jhi.v7i1.210
DatabaseName DOAJ Directory of Open Access Journals
DatabaseTitleList
Database_xml – sequence: 1
  dbid: DOA
  name: DOAJ Directory of Open Access Journals
  url: https://www.doaj.org/
  sourceTypes: Open Website
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
EISSN 2058-4563
EndPage 7
ExternalDocumentID oai_doaj_org_article_3cd022fec48246f390e3841f3b05abbf
GroupedDBID ALMA_UNASSIGNED_HOLDINGS
GROUPED_DOAJ
HJY
IPNFZ
PAPLT
RIG
XHW
ID FETCH-LOGICAL-c1870-be35a7aa676f3fd2247c1c260816492023b8f764c10af0cc71877196844618423
IEDL.DBID DOA
ISSN 2058-4555
IngestDate Fri Oct 03 12:32:35 EDT 2025
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 1
Language English
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c1870-be35a7aa676f3fd2247c1c260816492023b8f764c10af0cc71877196844618423
OpenAccessLink https://doaj.org/article/3cd022fec48246f390e3841f3b05abbf
PageCount 5
ParticipantIDs doaj_primary_oai_doaj_org_article_3cd022fec48246f390e3841f3b05abbf
PublicationCentury 1900
PublicationDate 1998-05-01
PublicationDateYYYYMMDD 1998-05-01
PublicationDate_xml – month: 05
  year: 1998
  text: 1998-05-01
  day: 01
PublicationDecade 1990
PublicationTitle Journal of innovation in health informatics
PublicationYear 1998
Publisher BCS, The Chartered Institute for IT
Publisher_xml – name: BCS, The Chartered Institute for IT
SSID ssj0001548551
Score 1.4487479
Snippet Objective to assess the accuracy, intra- and inter-coder reliability of secondary, centralised coding of patient reasons for encounter (RFEs) with the...
SourceID doaj
SourceType Open Website
StartPage 3
SubjectTerms classification
family medicine
ICPC
reliability
Title Reliability of central coding of patient reasons for encounter in general practice, using the International Classification of Primary Care
URI https://doaj.org/article/3cd022fec48246f390e3841f3b05abbf
Volume 7
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV25TsQwELXQCiEaxCluTUGJ2Rx27JSAWFHAaguQtoscx15CkUV7SfwCX81MHKSloqF1YVljO_Ne_OYNY1dVmQiXJ5oTu-BC-JhrZ_C6qzKRDiFsZlrL_Cc1HOrxOB-ttfoiTViwBw6B66e2wjTjnRU6EZlHiu5SLWKflpE0Zenp6xupfI1MhfpgMj0htpVEUnMhpewMNhE-ZP33t_pmpWrkh1Q5u2bW32aVwS7b6eAg3IZl7LEN1-yzrefuwfuAfZFkOFhpf8LUQ6elBDulnEMjnTEqkLgcTxAgCAUyp1xSxKBuYBKMpeGnHuoaSOs-AUR-8Ot_ILQNMkk61A7Q5KPgRQFUpXTIXgcPL_ePvGufwG2Mt5CXLpVGGZMpDJuvMFcrG1vkLxopUk5t00vtVSZsHBkfWYtZSim8kBoZIvK-JD1ivWbauGMGSWSNVC7XhE4QURmfpcrRm01uRRVlJ-yOYlh8hFUV5FndDuBOFt1OFn_t5Ol_THLGtkPVIEkSz1lvMVu6C7ZpV4t6PrtsD8k3aAXBKA
linkProvider Directory of Open Access Journals
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Reliability+of+central+coding+of+patient+reasons+for+encounter+in+general+practice%2C+using+the+International+Classification+of+Primary+Care&rft.jtitle=Journal+of+innovation+in+health+informatics&rft.au=Helena+Britt&rft.date=1998-05-01&rft.pub=BCS%2C+The+Chartered+Institute+for+IT&rft.issn=2058-4555&rft.eissn=2058-4563&rft.volume=7&rft.issue=1&rft.spage=3&rft.epage=7&rft_id=info:doi/10.14236%2Fjhi.v7i1.210&rft.externalDBID=DOA&rft.externalDocID=oai_doaj_org_article_3cd022fec48246f390e3841f3b05abbf
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2058-4555&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2058-4555&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2058-4555&client=summon