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General practice patient records

S T Liaw1

  • 1Flinders University, Bedford Park, South Australia.

Australian Family Physician
|February 1, 1994
PubMed
Summary
This summary is machine-generated.

Many general practitioners (GPs) still use outdated patient record systems like index cards, leading to low satisfaction. There is a clear need for improved electronic and paper-based patient record management systems in general practice.

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Area of Science:

  • Medical Informatics
  • General Practice Management
  • Health Information Systems

Background:

  • Patient record management is crucial for effective general practice.
  • Current systems in South Australian general practices vary significantly.
  • There is a recognized need to understand existing practices and future plans for information management.

Purpose of the Study:

  • To examine the current management and use of patient records in general practice.
  • To assess general practitioners' (GPs) satisfaction with existing record systems.
  • To understand GPs' plans for future information management and identify barriers to change.

Main Methods:

  • A descriptive and analytical cross-sectional study was conducted.
  • A mail questionnaire was distributed to general practices in South Australia.

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  • The study achieved a response rate of 68% (n=315 GPs).

    • Main Results:

    • Half of the GPs utilized index cards, with only 5% using computer-based records.
    • Satisfaction levels varied, with users of the RACGP folder reporting highest satisfaction (92%) and index card users the lowest (65%).
    • GPs planned transitions to computer-based billing, enhanced paper records, and computer-based patient records, citing various reasons and obstacles.

    Conclusions:

    • A significant unmet need exists for effective patient record systems in general practice, evidenced by high index card usage and low satisfaction.
    • Factors influencing record system choice include practice type, location, staff, GP demographics, and training.
    • Further research is recommended on the impact of suburb affluence and vocational registration on patient record system adoption.