Q J Med 2000; 93: 67-73
© 2000 Association of Physicians
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A practical guide to continuous population-based data collection (PACE): a process facilitating uniformity of care and research into practice
From the Department of Haematology, Royal Victoria Infirmary, Newcastle upon Tyne, UK
Address correspondence to Professor S.J. Proctor, Department of Haematology, Royal Victoria Infirmary, Newcastle upon Tyne NE1 4LP. e-mail:s.j.proctor@ncl.ac.uk
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Introduction |
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In an editorial on clinical databases in the British Medical Journal, Professor Black indicated that in this era of assessment and accountability in medicine, there is a tendency to cling to traditional research methodology, in spite of its well-recognized limitations.1 He points out that classical studies are expensive, of limited duration and in limited clinical arenas. A major problem in trials is that study populations are unlike the average population seen by doctors in their practice, and the lack of introduction of positive research findings into practice continues to be of major concern. In his article, Black discusses the potential value of new processes of intervention in health care, using as the starting point high-quality clinical databases which potentially allow everyday practise to come closer to research.
Over the past 20 years progress has been made in this area in the UK, following the pioneering work of the surgeons
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PACE: the process and how to do it |
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Communication: the key element |
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Can it work for other disciplines? |
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Developing the system |
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Amalgamations and collaborations |
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Practicalities of financing and data collection |
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Building the process into practice |
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PACE in action |
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A total care package for Hodgkin's disease—PACE based
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Individual advice on patient care using PACE data |
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Request letter from consultant colleague
Reply
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Conclusion |
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Acknowledgments |
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References |
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