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Related Experiment Videos

The computer in general practice.

D H Metcalfe

    Journal of Medical Engineering & Technology
    |March 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    General practices are increasingly adopting computer systems for information management. Current systems focus on cross-indexing patient data for preventive medicine and administrative planning, with future potential for decision support.

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    Area of Science:

    • General Practice Informatics
    • Health Information Systems
    • Medical Computing

    Background:

    • Computer adoption is growing in UK general practices.
    • Practices are either installing systems or developing their own.
    • Most GPs purchase off-the-shelf solutions, while a few engage in custom design.

    Purpose of the Study:

    • To outline the evolutionary phases of computer information systems in general practice.
    • To detail the capabilities and applications of current cross-indexing systems.
    • To identify preconditions for advancing to narrative records and decision support.

    Main Methods:

    • The study describes a three-phase model for computer information systems: cross-indexing, narrative record, and decision aid.
    • Current systems are analyzed at the cross-indexing level.

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  • The potential benefits and requirements for future phases are discussed.

    • Main Results:

    • Existing computer systems function as cross-indexing tools, improving patient cohort identification.
    • These systems support preventive medicine, quality control, administrative and educational planning, and research.
    • Manual systems were previously underutilized due to inefficiency and research focus.

    Conclusions:

    • The current cross-indexing phase offers significant advantages over manual methods.
    • Transitioning to narrative records requires standardized data entry (e.g., problem-orientated medical records).
    • Successful adoption of advanced systems necessitates physician acceptance of system-guided prompts and reminders.