Whole population secondary prevention of Coronary Heart Disease in Scotland: The HEARTS database.

Frank M. Sullivan (Lead / Corresponding author), Peter T. Donnan, Tom Love

    Research output: Chapter in Book/Report/Conference proceedingChapter (peer-reviewed)peer-review

    Abstract

    Implementing the evidence base for the management of chronic disease is as challenging as discovering which interventions are effective. The HEARTS collaboration (Heart disease Evidence-based Audit and Research in Tayside Scotland) is achieving that goal for the secondary prevention of coronary heart disease (CHD by linking national databases to manually validated hospital and family practice electronic patient records. Specific data from the system is fed back to practices in a facilitated educational process and through the NHS intranet. This paper describes some of the key features of this strategic decision support system. All residents of the Tayside region of Scotland (n=484,013 mid year estimate 2002) are covered by the system. 9,828 patients who have suffered a myocardial infarction(MI) or who have undergone angioplasty or bypass surgery are registered on the system. Improvements in clinical status and prescribing of effective therapies are 5-10% greater than elsewhere in Scotland.

    Original languageEnglish
    Title of host publicationMEDINFO 2004
    Subtitle of host publicationProceedings of the 11th World Congress on Medical Informatics
    EditorsMarius Fieschi, Enrico Coiera, Yu-.Chan Jack Li
    Place of PublicationAmsterdam
    PublisherIOS Press
    Chapter15
    Pages1227-1229
    Number of pages3
    VolumePart 2
    ISBN (Electronic)9781607509493
    ISBN (Print)9781586034443
    DOIs
    Publication statusPublished - Aug 2004

    Publication series

    NameStudies in Health Technology and Informatics
    PublisherIOS Press
    Volume107

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