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Related Experiment Videos

Non-physician development of problem lists from office records.

D E Reed, C Lapenas, J R deVries

    The Journal of Family Practice
    |June 1, 1975
    PubMed
    Summary

    Converting patient records to the problem-oriented medical record (POMR) can be cost-effective. Non-physician staff accurately created problem lists from existing records, saving significant physician time and money.

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    Area of Science:

    • Health Informatics
    • Medical Record Management
    • Ambulatory Care

    Background:

    • The conversion of traditional office records to the problem-oriented medical record (POMR) has been perceived as costly.
    • High expenses in terms of finances and physician time are often cited as barriers to POMR adoption.

    Purpose of the Study:

    • To evaluate the cost-effectiveness of preparing problem lists for POMR conversion.
    • To assess the accuracy of problem lists generated by non-physician personnel from existing ambulatory patient records.

    Main Methods:

    • Non-physician personnel were tasked with creating problem lists from existing ambulatory patient records.
    • Physicians subsequently reviewed and validated the accuracy of the generated problem lists.

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    Main Results:

    • Problem lists prepared by non-physician personnel were deemed accurate by physicians.
    • The cost associated with non-physician personnel preparing problem lists was substantially lower than when physicians performed the task.
    • This method offers a significant cost reduction compared to physician-led chart review and problem list creation.

    Conclusions:

    • Utilizing non-physician personnel for problem list creation is an accurate and cost-effective strategy.
    • This approach facilitates the conversion of outpatient records to the problem-oriented medical record (POMR).
    • The findings suggest a practical solution to overcome financial and time-related barriers in POMR implementation.