The burden of chronic diseases such as chronic obstructive pulmonary disease (COPD) is increasing rapidly in low and middle-income countries. Despite this, their management in such countries has often not been well studied. In a paper published in JRSM Short Reports, Ailsa McKay and colleagues reviewed the nature and efficacy of current management strategies for COPD in India. They found information regarding current management – particularly on the implementation of national guidelines and primary prevention – to be very sparse. This led to difficulty in interpreting studies of management strategies, which were varied and generally of positive effect. Data regarding current management outcomes were very limited. They concluded that the current understanding of management strategies for COPD in India is limited due to a lack of published data. Determination of the extent of current use of management guidelines, availability and use of treatment, and current primary prevention strategies would be useful. This would also provide evidence that could be used to interpret existing and future studies of management outcomes and novel interventions.
As part of a session on primary care data in the Health Informatics module on the Imperial Master of Public Health Programme, I asked students to work in two groups to present arguments for and against the NHS Care.Data programme. Care.Data is an NHS programme that will extract data from the medical records held by general practitioners (GPs) in England. The Care.Data programme takes advantage of the very high level of use of electronic medical records by GPs in England. After extraction, data will be uploaded to the NHS Health and Social Care Information Centre (HSCIC). The data will then be used for functions such as health care planning, monitoring disease patterns and research. The programme has been controversial with proponents arguing that the programme will bring many benefits for the NHS and the population of England; and opponents arguing it is a major breach of privacy. You can view the two presentations to help inform you further about these arguments: Arguments fo...

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