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Published on: February 5, 2019
Infants-- encounters and management in general practice
Janice Charles1, Lisa Valenti, Helena Britt
1Family Medicine Research Centre, University of Sydney, New South Wales.
Insights
General practitioners record patient reasons for visits and managed health problems during BEACH consultations. While direct links between reasons for visits and problems are absent, problem management is directly associated, and medication details are captured.
Area of Science:
- General Practice
- Health Informatics
- Primary Care Data
Background:
- The Bettering the Evaluation and Care of Health (BEACH) program collects data on general practice encounters.
- Accurate recording of patient reasons for encounter (RFE) and diagnoses is crucial for understanding primary care.
Purpose of the Study:
- To describe the structure and limitations of recording patient RFE and diagnoses within the BEACH program.
- To highlight the relationship between recorded problems and their management.
Main Methods:
- Analysis of data recorded by general practitioners within the BEACH program.
- Examination of the recording capabilities for patient RFE, diagnoses/problems managed, and medication details.
Main Results:
- Up to three patient reasons for encounter (RFE) and four diagnoses/problems managed can be recorded per encounter.
- No direct link exists between multiple RFEs and multiple problems managed.
- A direct association is recorded between a problem and its management.
- Medication recording includes prescribed, supplied, or advised over-the-counter options.
Conclusions:
- The BEACH system captures key elements of primary care encounters but has limitations in linking multiple patient-reported reasons to multiple diagnoses.
- The data structure supports analysis of problem management and medication use in general practice.
Abstract:
At a BEACH (Bettering the Evaluation and Care of Health) consultation, up to three patient reasons for attending the encounter (RFE) and up to four diagnoses/problems managed can be recorded by the general practitioner. When there are multiple RFE and problems managed at an encounter, there is no direct link between the two. However, there is a direct association between the problem and its management. Medications can be recorded as prescribed, supplied or advised for over-the-counter purchase.
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