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...
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| Format: | Article |
| Language: | English |
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BCS, The Chartered Institute for IT
1998-05-01
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| Series: | Journal of Innovation in Health Informatics |
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| Online Access: | https://hijournal.bcs.org/index.php/jhi/article/view/210 |
| _version_ | 1819028239826288640 |
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| author | Helena Britt |
| author_facet | Helena Britt |
| author_sort | Helena Britt |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-21T05:55:13Z |
| format | Article |
| id | doaj.art-3cd022fec48246f390e3841f3b05abbf |
| institution | Directory Open Access Journal |
| issn | 2058-4555 2058-4563 |
| language | English |
| last_indexed | 2024-12-21T05:55:13Z |
| publishDate | 1998-05-01 |
| publisher | BCS, The Chartered Institute for IT |
| record_format | Article |
| series | Journal of Innovation in Health Informatics |
| spelling | doaj.art-3cd022fec48246f390e3841f3b05abbf2022-12-21T19:13:51ZengBCS, The Chartered Institute for ITJournal of Innovation in Health Informatics2058-45552058-45631998-05-01713710.14236/jhi.v7i1.210152Reliability of central coding of patient reasons for encounter in general practice, using the International Classification of Primary CareHelena BrittObjective 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.https://hijournal.bcs.org/index.php/jhi/article/view/210ICPCreliabilityclassificationfamily medicine |
| spellingShingle | Helena Britt Reliability of central coding of patient reasons for encounter in general practice, using the International Classification of Primary Care Journal of Innovation in Health Informatics ICPC reliability classification family medicine |
| title | Reliability of central coding of patient reasons for encounter in general practice, using the International Classification of Primary Care |
| title_full | Reliability of central coding of patient reasons for encounter in general practice, using the International Classification of Primary Care |
| title_fullStr | Reliability of central coding of patient reasons for encounter in general practice, using the International Classification of Primary Care |
| title_full_unstemmed | Reliability of central coding of patient reasons for encounter in general practice, using the International Classification of Primary Care |
| title_short | Reliability of central coding of patient reasons for encounter in general practice, using the International Classification of Primary Care |
| title_sort | reliability of central coding of patient reasons for encounter in general practice using the international classification of primary care |
| topic | ICPC reliability classification family medicine |
| url | https://hijournal.bcs.org/index.php/jhi/article/view/210 |
| work_keys_str_mv | AT helenabritt reliabilityofcentralcodingofpatientreasonsforencounteringeneralpracticeusingtheinternationalclassificationofprimarycare |