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Computer use by general practitioners in Scotland.

H M Richards1, F M Sullivan, E D Mitchell

  • 1Department of General Practice, University of Glasgow.

The British Journal of General Practice : the Journal of the Royal College of General Practitioners
|February 20, 1999
PubMed
Summary
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General practitioners (GPs) use computers less than reported, with computer use in consultations not improving patient satisfaction. Further research is needed to optimize computer integration in general practice.

Area of Science:

  • Primary Care Informatics
  • Health Services Research
  • General Practice Technology Integration

Background:

  • Widespread adoption of desktop computers by general practitioners (GPs) lacks sufficient evaluation regarding actual usage during patient consultations.
  • The impact of computer use on patient satisfaction in primary care settings remains under-investigated.

Purpose of the Study:

  • To quantify the extent of computer utilization by GPs during patient consultations.
  • To explore the relationship between computer use during consultations and patient satisfaction levels.

Main Methods:

  • Six GPs completed self-report questionnaires on computer usage during surgeries.
  • Eighty-four patient consultations were video-recorded for objective analysis of computer use.
  • Patient satisfaction was measured using the validated Consultation Satisfaction Questionnaire post-consultation.

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Main Results:

  • GPs self-reported high computer usage, but video observation confirmed use in only 51% of consultations.
  • Computer use averaged 12% of consultation time, primarily for prescribing.
  • Computerized consultations (CU) were longer by an average of 148 seconds compared to non-computerized consultations (NCU), with no significant difference in patient satisfaction.

Conclusions:

  • Actual computer use in general practice consultations is lower than self-reported, even among interested GPs.
  • Computer use during consultations extends consultation time without a discernible positive impact on patient satisfaction.
  • Further research is essential to maximize the potential benefits of desktop computers in general practice by understanding their impact on the consultation process.