Demographics | Age | Date of birth stored in EMIS |
Ethnicity | Patient registration document stored in Docman |
Accommodation type | Accomodation type recorded on patient registration document |
Registration with mainstream GP in 2015 | Stored in EMIS |
Recorded period in prison in 2015 | Correspondence with prison service in 2015 in EMIS/Docman |
Clinical marker | Smoking status | Stored in EMIS or patient registration document |
Body mass index | Calculated from height and weight in EMIS record, if available |
Blood pressure | Stored in EMIS in 2015 |
Acute health conditions | Alcohol misuse in 2015 | Read Codes: 'alcohol misuse', 'alcohol dependence syndrome', 'alcohol problem drinking' in EMIS in 2015 |
Drug misuse in 2015 | Read Codes: 'Drug dependence', 'injecting drug user', opioid type drug dependence', benzodiazepine dependence', 'hypnotic or anxiolytic dependence', 'cocaine type drug dependence', 'novel psychoactive substance misuse', and 'substance misuse' recorded in EMIS in in 2015 |
Skin condition in 2015 | Read Code describing any skin condition recorded in EMIS in 2015 |
Long-term conditions | Barnett et al (2012) outlined 40 conditions defined as 'long-term conditions' (LTCs); these were recorded according to their existing criteria and taken into consideration when counting the LTCs. Examples include: | Hypertension: Read Code ever recorded in EMIS |
Depression: Read Code recorded in EMIS, within previous 12 months or ≥4 antidepressant prescriptions (excluding low-dose tricyclics) in 2015 |
Painful condition: ≥4 prescription-only analgesic prescriptions in last 12 months or ≥4 antiepileptics in the absence of an epilepsy Read Code recorded in EMIS within previous 12 months |
| Certain conditions were not included in the long-term condition count but featured in the data collection. Conditions were chosen as they were considered especially relevant for this population.3,5,7 These conditions were: | HIV: Read Code ever recorded in EMIS |
Myocardial infarction: Read Code ever recorded in EMIS |
Back pain: Read Code ever recorded in EMIS |
Hepatitis C virus: positive polymerase chain reaction test for hepatitis C recorded in EMIS. Viral hepatitis was included in LTC count but hepatitis C prevalence was also looked at in isolation |
Severe and multiple disadvantage | Bramley et al (2015) described three SMD domains imprisonment, homelessness, and problem drug use. This article described patients as SMD1-3 based on the total number of domains of SMD they had experienced. A cumulative total was given for each patient; therefore, an individual experiencing homelessness plus previous imprisonment plus problem drug use would be described as SMD 3. A single experience in one of these domains would qualify an individual as having experienced this domain of SMD | Previous imprisonment: correspondence with prison services recorded in EMIS/Docman |
Homelessness: Read Code ever recorded in EMIS |
Problem drug use: Read Code ever recorded in EMIS |
Referrals and engagement | Engagement defined as patient attending referred service. (Record of attendance = engaged; record of non-attendance = did not engage).
| Referred to further care: referrals section in EMIS/Docman |
Engagement: Recorded in EMIS and free text in GP consultation notes |
Prescribing | Medication prescribed | Acute and repeat prescriptions from 2015 recorded in EMIS |
Primary care services | Number of GP encounters within (Glasgow Homeless Health Service) GHHS | Recorded in EMIS in 2015
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Number of nurse encounters within GHHS | Recorded in EMIS in 2015 |
Number of pharmacist encounters within GHHS | Recorded in EMIS in 2015 |
Number of GP visits to patient accommodation | Recorded in EMIS in 2015 |
Secondary care services | Number of presentations to accident and emergency (A&E) | Recorded in Docman in 2015 |
Number of in-patient hospital admissions | Recorded in Docman in 2015 |