高血压英文ppt精品课件alcohol improvement programme early implementers

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1、AlcoholImprovementProgrammeEarlyImplementers’Conference2December2009DataWorkshopJoannaCoppingChrisGibbinsVerityBellamyOutlineofpresentationHowNI39iscalculatedLatesttrendsinNI39forEnglandHowtocalculateNI39froyourownPCT/LANI39inNottinghamHowPCTscanreacht

2、heirNI39target-discussionReadyReckonerversion5HowalcoholadmissionsindicatoriscalculatedPSA25.2,VSC26,NI39Developedin2007Broadermeasure–includesconditionspartiallyattributabletoalcoholBasedonreviewofepidemiologicalliteraturebyNWPHOProducedsetofconditionscau

3、sedbyalcoholandcorrespondingattributablefractionsThemeasure13whollyattributableconditions(attributablefractionof1)31partiallyattributableconditions(attributablefractionlessthan1)Example:cancerofoesophagusWomenaged16-24,AF=0.23AppliedtoNHSInformationCentre’

4、sdataonHospitalEpisodesAdmissionepisodesforresidents;validsexandage;classpat=1,2,5Anymentionofalcoholrelateddiagnosis(notjustprimarydiagnosis)7.56Total=Ifmorethanoneinepisode,uselargestAF–egI10X=0.34;G409=0.61Countofadmissions;notpatients(‘wholeadmissioneq

5、uivalent’)Togetrate,useONSresidentpopulationestimates:http://www.statistics.gov.uk/statbase/Product.asp?vlnk=15106Attributablefractionsforthenon-dataminded!2NI39admissions=Ethanolpoisoning2XEpilepsy4XHypertension10XBreastcancer25XImprovingaccessandundersta

6、ndingDHreleasesofdata:Q12009/10Final2008/09SubsequentquartersaboutfivemonthsafterendofquarterNWPHOsub-analyses2007/08:December2008/09:JanuaryConfidenceintervals-scopingHESARAvariableCurrentlyundergoinguseracceptancetestingARAtoolFeedadmissionleveldatain(fr

7、omHESorSUS).Calculatesattributablefractionsandstandardisedrates.AvailableonAlcoholLearningCentre:http://www.alcohollearningcentre.org.uk/Topics/Latest/Resource/?cid=5369ReadyReckonerAssistPCTstoselectinterventionstoreducealcoholadmissions.4highimpactchange

8、s.AlsoonALC:http://www.alcohollearningcentre.org.uk/Topics/Browse/Commissioning/Data/?parent=5113&child=5109SystemDynamicsModelSupporttoregionswithtrajectoriesPre-announcedreleasedatesMorethanjustheadlinefigu