M. Pringle et I. Rothera, PRACTICALITY OF RECORDING PATIENT ETHNICITY IN GENERAL-PRACTICE - DESCRIPTIVE INTERVENTION STUDY AND ATTITUDE SURVEY, BMJ. British medical journal, 312(7038), 1996, pp. 1080-1082
Objective-To assess the feasibility of recording patient ethnicity in
primary care using the Office of Population Censuses and Surveys class
ification. Design-A descriptive intervention study and attitude survey
in random samples of adults and primary care staff in randomly select
ed practices. Setting-Eight practices in Lincolnshire and seven in Lei
cester. Subjects and methods-When patients were asked their ethnicity
by general practitioners, nurses, or receptionists data were collected
for 863 of a possible 880 patients. Of 750 patients sent a questionna
ire about their attitudes towards the collection of such data 489 resp
onded. Ninety live primary care staff completed a similar questionnair
e. Main outcome measures-Time taken to record a patient's ethnicity; a
ttitudes of patients and staff towards such recording, including who s
hould ask, who can respond for others, and whether data can be shared
with secondary care. Results-Recording, the data took less than a minu
te for three quarters of patients, but even this would need an average
of a week of receptionist time per general practitioner. 72% of patie
nts and 57% of staff agreed that ethnic data could be shared with seco
ndary care, and 73% of patients and 60% of staff felt that the data sh
ould probably be collected in general practice. Conclusions-Ethnicity
recording in general practice is feasible and acceptable. Nevertheless
, the role of ethnic data in assessing health need in primary care, an
adequate recording system, and evidence that recording offers benefit
s greater than the costs need to be established.