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Related Experiment Videos

[Do we gain or lose information with computerisation?].

M Quesada Sabaté1, N Prat Gil, E Cardús Gómez

  • 1ABS de SALT. Unidad Docente de Medicina de Familia y Comunitaria de Girona. Médicos de Familia. mquesadas@papps.org

Atencion Primaria
|June 20, 2001
PubMed
Summary
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This study found that computer records and clinical histories show high concordance for health problems but lower concordance for preventive actions. Under-recording in computer systems impacts health information reliability, necessitating improved data collection and training.

Area of Science:

  • Health Informatics
  • Primary Care Research
  • Data Quality Assessment

Context:

  • Evaluates the concordance between electronic health records and clinical histories in a primary care setting.
  • Focuses on an urban health center serving 31,000 inhabitants, utilizing computerised records since 1997.

Purpose:

  • To quantify the agreement between computerised records and clinical histories for both preventive actions and diagnosed health problems.
  • To identify discrepancies and under-recording within primary care data management systems.

Summary:

  • A cross-sectional study of 112 patients revealed a mean concordance of 73.5% for preventive actions and 93.5% for health problems.
  • Significant computer under-recording was noted for preventive actions (21% for manual activities) and clinical history under-recording for verbal preventive actions (14.3%).

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  • Findings indicate non-uniform concordance, with specific areas of under-recording affecting data reliability.

    • Impact:

    • Highlights potential issues with the reliability and validity of health information due to data discrepancies.
    • Suggests that data collection methods significantly influence record accuracy.
    • Recommends enhanced training, improved computer system design, and standardized data collection protocols to improve primary care record quality.