Evidence map›Paper›PMID 30927466›Full record

ArticleThe Medical journal of Australia2019

Gathering data for decisions: best practice use of primary care electronic records for research.

Rachel Canaway, Douglas Ir Boyle, Jo-Anne E Manski-Nankervis, Jessica Bell, Jane S Hocking, Ken Clarke, Malcolm Clark, Jane M Gunn, Jon D Emery

Abstract read
In one paragraph

Article in The Medical journal of Australia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Attitudes towards data access and sharing health data for research: a case study of Australian data custodian perspectives.Health information management : journal of the Health Information Management Association of Australia · 2026
    Article
  7. Decision support tools for pancreatic cancer detection: external validation in Australian primary care - a retrospective cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Clinical activity in general practice before sarcoma diagnosis: an Australian cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
    Article
  16. Article
  17. Article
  18. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Rachel CanawayDepartment of General Practice, University of Melbourne, Melbourne, VIC.
Douglas Ir BoyleHealth and Biomedical Informatics Centre, University of Melbourne, Melbourne, VIC.
Jo-Anne E Manski-NankervisDepartment of General Practice, University of Melbourne, Melbourne, VIC.
Jessica BellMelbourne Law School, University of Melbourne, Melbourne, VIC.
Jane S HockingSchool of Population and Global Health, University of Melbourne, Melbourne, VIC.
Ken ClarkeNetworked Society Institute, University of Melbourne, Melbourne, VIC.
Malcolm ClarkHealth and Biomedical Informatics Centre, University of Melbourne, Melbourne, VIC.
Jane M GunnDepartment of General Practice, University of Melbourne, Melbourne, VIC.
Jon D EmeryDepartment of General Practice, University of Melbourne, Melbourne, VIC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In Australia, there is limited use of primary health care data for research and for data linkage between health care settings. This puts Australia behind many developed countries. In addition, without use of primary health care data for research, knowledge about patients' journeys through the health care system is limited. There is growing momentum to establish "big data" repositories of primary care clinical data to enable data linkage, primary care and population health research, and quality assurance activities. However, little research has been conducted on the general public's and practitioners' concerns about secondary use of electronic health records in Australia. International studies have identified barriers to use of general practice patient records for research. These include legal, technical, ethical, social and resource-related issues. Examples include concerns about privacy protection, data security, data custodians and the motives for collecting data, as well as a lack of incentives for general practitioners to share data. Addressing barriers may help define good practices for appropriate use of health data for research. Any model for general practice data sharing for research should be underpinned by transparency and a strong legal, ethical, governance and data security framework. Mechanisms to collect electronic medical records in ethical, secure and privacy-controlled ways are available. Before the potential benefits of health-related data research can be realised, Australians should be well informed of the risks and benefits so that the necessary social licence can be generated to support such endeavours.

Indexed as

Ethics, MedicalInformation DisseminationAustraliaBiomedical ResearchComputer SecurityElectronic Health RecordsGeneral PracticeGovernment RegulationHumansPrimary Health CareData collectionDatasets as topicEthics, researchEvidence-based medicineGeneral practiceHealth services researchPopulation healthTechnology

Identifiers

PMID30927466
PMCPMC6487848

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.