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auditing and surveys of staff we present information demonstrating how the VDW is used at the 3 HMOs. Conclusions: The original intent of the VDW was to increase efficiency in the use of data on multi-site studies. However, single site studies can also gain efficiencies from using the VDW and at some HMOs the VDW has become the first data source to use for almost all research. The VDW advantages of standard data structures and standard methods are also useful for single site projects.doi:10.3121/cmr.6.3-4.150-a fatcat:k4o4nkiohrby7ntovrhwetj6ma