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https://hdl.handle.net/2440/6248
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Type: | Journal article |
Title: | Privacy considerations in the context of an Australian observational database |
Author: | Duszynski, K. Beilby, J. Marley, J. Walker, D. Pratt, N. |
Citation: | Pharmacoepidemiology and Drug Safety, 2001; 10(7):587-594 |
Publisher: | John Wiley & Sons Ltd |
Issue Date: | 2001 |
ISSN: | 1053-8569 1099-1557 |
Statement of Responsibility: | Katherine M. Duszynski, Justin J. Beilby, John E. Marley, Don C. Walker and Nicole L. Pratt |
Abstract: | Observational databases are increasingly acknowledged for their value in clinical investigation. Australian general practice in particular presents an exciting opportunity to examine treatment in a natural setting. The paper explores issues such as privacy and confidentiality--foremost considerations when conducting this form of pharmacoepidemiological research. Australian legislation is currently addressing these exact issues in order to establish clear directives regarding ethical concerns. The development of a pharmacoepidemiological database arising from the integration of computerized Australian general practice records is described in addition, to the challenges associated with creating a database which considers patient privacy. The database known as 'Medic-GP', presently contains more than 950,000 clinical notes (including consultations, pathology, diagnostic imaging and adverse reactions) over a 5-year time period and relates to 55,000 patients. The paper then details a retrospective study which utilized the database to examine the interaction between antibiotic prescribing and patient outcomes from a community perspective, following a policy intervention. This study illustrates the application of computerized general practice records in research. |
Keywords: | Observational databases computerized records general practice privacy de-identification |
Description: | Copyright © 2001 John Wiley & Sons, Ltd. |
DOI: | 10.1002/pds.629 |
Published version: | http://dx.doi.org/10.1002/pds.629 |
Appears in Collections: | Aurora harvest 5 General Practice publications |
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