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Does the computerisation of a general practice increase doctor's fees?

A N Thomson1

  • 1Department of General Practice, University of Auckland School of Medicine.

The New Zealand Medical Journal
|December 14, 1988
PubMed
Summary
This summary is machine-generated.

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General practitioners in Auckland saw increased computer use after 1981-2. Practice computerization impacted costs and workstyles, but not patient fees.

Area of Science:

  • Health Informatics
  • General Practice
  • Medical Economics

Background:

  • Computer adoption in general practices was minimal before 1981-2.
  • A significant increase in practice computerization occurred after 1981-2.

Purpose of the Study:

  • To identify factors influencing general practice computerization.
  • To evaluate the impact of computerization on practice costs, fees, and workloads.

Main Methods:

  • A random sample of Auckland urban general practitioners was surveyed.
  • Data was collected for the financial years 1981-2 and 1984-5.
  • Comparative analysis of computerised and non-computerised practices.

Main Results:

  • No significant difference in patient fees between computerised and non-computerised practices.

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  • Computerization was associated with changes in practice costs.
  • Workstyles within practices were affected by computer adoption.
  • Conclusions:

    • The cost of practice computerization is not directly reflected in higher patient fees.
    • Computerization influences practice economics and operational dynamics.
    • Further research into practice computerization determinants and outcomes is warranted.