Electronic Health Records Research in a Health Sector Environment with Multiple Provider Types

Samantha S. R. Crossfield, Susan E. Clamp


Where healthcare provision is divided into provider types, such as child health and palliative care, it is difficult for researchers to access comprehensive healthcare data. Integrated electronic health records offer an opportunity for cross-provider type care research. In this paper a new model for accessing such data is justified using the critical success factors as determined from an established research data provider. This validates a model that will enhance integrated health research for the benefit of clinical practice across multiple provider types.


  1. Ammenworth, E., Schnell-Inderst, P., Machan, C., Siebert, U., 2008. The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. Journal of the American Medical Informatics Association. 15(5): 585-600.
  2. Bohensky, M.A., Jolley, D., Sundararajan, V., Evans, S. et al., 2010. Data Linkage: A powerful research tool with potential problems. BMC Health Services Research. 10(1): 346.
  3. Cheetham, T.C., Levy, G., Niu. F., Bixler, F., 2009 Gastrointestinal Safety of Nonsteroidal Antiinflammatory Drugs and Selective Cyclooxygenase-2 Inhibitors in Patients on Warfarin. The Annals of Pharmacotherapy. 43(11): 1765-1773.
  4. Cohen, J., 1992. A power primer. Psychological Bulletin. 112(1): 155-159.
  5. Crossfield, S.S.R., Bates, C.J., Parry, J., 2012. ResearchOne Database Protocol. Copyright ResearchOne 2012
  6. Department of Health, 2003. Making IT happen: information about the National Programme for IT. [Accessed 27.07.2012] URL: www.dh.gov.uk /en/Publicationsandstatistics/
  7. Department of Health, 2012. The power of information: putting all of us in control of the health and care information we need. Crown Copyright: London.
  8. Dobrey A., Haesner M., Hüsing T., Korte W.B., Meyer I., 2008. Benchmarking ICT Use Among General Practitioners in Europe: Final Report. Empirica. Germany: Bonn.
  9. Economic and Social Data Service. [Accessed on 28.08.201] URL: hwww.ccsr.ac.uk/esds/variables/
  10. Graham, D.J., Campen, D., Hui, R., Spence, M. et al., 2005. Risk of acute myocardial infarction and sudden cardiac death in patients treated with cyclo-oxygenase 2 selective and non-selective non-steroidal antiinflammatory drugs: nested case-control study. The Lancet. 365(9458): 475-481.
  11. Graham, I.M., Stewart, M., Hertog, M.G.L., 2006. Factors impeding the implementation of cardiovascular prevention guidelines: findings from a survey conducted by the European Society of Cardiology. European Journal of Preventative Cardiology 13(5): 839-845.
  12. Guttmann, A., Schull, M.J., Vermeulen, M.J. & Stukel, T.A., 2011. Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada. British Medical Journal 342: d2983.
  13. Ham, C., York, N., Sutch, S., Shaw, R., 2003. Hospital bed utilisation in the NHS, Kaiser Permanente, and the US Medicare programme: analysis of routine data. British Medical Journal 327: 1257.
  14. Hippisley-Cox, J., Stables, D., Pringle, M., 2004. QRESEARCH: a new general practice database for research. Informatics in Primary Care 12: 49-50.
  15. Hippisley-Cox, J., Coupland, C., Vinogradova, Y., Robson, J. et al., 2008. Predicting cardiovascular risk in England and Wales: prospective derivation and validation of QRISK2. British Medical Journal 336 (7659): 1475-1482.
  16. Hippisley-Cox, J., Coupland, C., Robson, J., Sheikh, A. et al., 2009. Predicting risk of type 2 diabetes in England and Wales: prospective derivation and validation of QDScore. British Medical Journal. 338: b880.
  17. Hippisley-Cox, J., Stables, D., 2011. QRESEARCH: An Ethical High Quality General Practice Database for Research. Copyright QRESEARCH 2011.
  18. ISO/TR 20514., 2004. Health Informatics - Electronic Health Record - Definition, Scope, and Context. ISO Technical Report. [Accessed 21.08.2012] URL: www.iso.org/iso/
  19. Kawonga, M., Blaauw, D., Fonn, S., 2012. Aligning vertical interventions to health systems: a case study of the HIV monitoring and evaluation system in South Africa. Health Research Policy and Systems. 10(2): 1- 13.
  20. Keen, J., Denby, T., 2009. Partnerships in the Digital Age. In: J. GLASBY, H. DICKINSON, ed. International Perspectives on Health and Social Care: Partnerships Working In Action. Sussex: Blackwell Publishing Ltd; 2009. 95-107. ISBN-10: 1444322591.
  21. Kuperman, G.J., 2011. Health-information exchange: why are we doing it, and what are we doing? Journal of the American Informatics Association. 18: 678-682.
  22. Lowrance, W., 2003. Learning from experience: privacy and the secondary use of data in health research. Journal of Health Services Research and Policy. 8(1): 2-7.
  23. Moore, P., Armitage, G., Wright, J., Dobrzanski, S. et al., 2011. Medicines Reconciliation Using a Shared Electronic Health Care Record. Journal of Patient Safety. 7(3): 148-154.
  24. Powell, J., Buchan, I., 2005. Electronic Health Records Should Support Clinical Research. Journal of Medical Internet Research 7(1): e4 URL: www.jmir.org/2005/1/e4/
  25. Stoves, J., Connolly, J., Cheung, C.K., Grange, A. et al., 2010. Electronic consultation as an alternative to hospital referral for patients with chronic kidney disease: a novel application for networked electronic health records to improve the accessibility and efficiency of healthcare. Quality and Safety in Health Care. 19(5): e54 PMID: 20554576.
  26. Taylor, B., Miller, E., Farrington, C.P., Petropolous, M-C., 1999. Autism and measles, mumps, and rubella vaccine: no epidemiological evidence for a causal association. The Lancet. 353: 2026-2029.
  27. Twomey, P., Whittaker A., Jervis C., 2004. Implementation of the National Service Framework for Diabetes: initial opportunities for a PCT to facilitate practice and health community action plans - year one experience. Quality in Primary Care. 12 (3): 213-218.
  28. Vinogradova, Y., Coupland, C., Hippisley-Cox, J., 2012. Exposure to bisphosphonates and risk of cancer: a protocol for nested case-control studies using the QResearch primary care database. BMJ Open. 2: e000548.
  29. Wellcome Trust, 2009. Towards Consensus for Best Practice: Use of patient records from general practice for research. [accessed 01.08.2012] URL: www.wellcome.ac.uk/GPrecords.
  30. Wilson, R., Baines, S., Cornford, J., Martin, M., 2007. 'Trying to do a jigsaw without the picture on the box': understanding the challenges of care integration in the context of single assessment for older people in England. International Journal of Integrated Care. 7: 1-11.

Paper Citation

in Harvard Style

S. R. Crossfield S. and E. Clamp S. (2013). Electronic Health Records Research in a Health Sector Environment with Multiple Provider Types . In Proceedings of the International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2013) ISBN 978-989-8565-37-2, pages 104-111. DOI: 10.5220/0004245701040111

in Bibtex Style

author={Samantha S. R. Crossfield and Susan E. Clamp},
title={Electronic Health Records Research in a Health Sector Environment with Multiple Provider Types},
booktitle={Proceedings of the International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2013)},

in EndNote Style

JO - Proceedings of the International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2013)
TI - Electronic Health Records Research in a Health Sector Environment with Multiple Provider Types
SN - 978-989-8565-37-2
AU - S. R. Crossfield S.
AU - E. Clamp S.
PY - 2013
SP - 104
EP - 111
DO - 10.5220/0004245701040111