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Computerisation, coding, data retrieval and related attitudes among Swedish general practitioners - A survey of necessary conditions for a database of diseases and health problems
Allmänmedicin Karolinska Institutet.
Linköping University, The Institute of Technology. Linköping University, Department of Biomedical Engineering, Medical Informatics.
Allmänmedicin Karolinska Institutet.
2002 (English)In: International Journal of Medical Informatics, ISSN 1386-5056, Vol. 65, no 2, 135-143 p.Article in journal (Refereed) Published
Abstract [en]

Objective: To investigate necessary conditions for the establishment of a database of diseases and health problems for research and health care planning, based on electronic patient records in everyday clinical use among general practitioners (GPs). Design: Postal questionnaire study. Setting: Primary health care in Sweden. Subjects: Three hundred randomly selected GPs. Main outcome measures: Degree of computerisation of patient records. User frequency and characteristics of diagnosis classification systems and coding tools. Frequency of coding activities and retrieval of codes, and related attitudes. Opinions on a primary health care version of ICD-10. Results: A total of 184 GPs (61% of the 300 GPs) were included in the study. About 92% used an electronic record system, some type of diagnostic classification was used by 93%, and ICD based classifications by 88%. The classification in use was computerised for 74%. Mainly simple tools were used to retrieve diagnostic codes. About 76% of GPs reported classifying at least one symptom or disease per encounter. The codes were retrieved 'once a month' or more by 19%. Classification of diseases was considered important for follow-up by 83%, and for the care of the patient by 75% of the GPs. The primary health care version of ICD-10 with a total of 972 codes was considered too limited in size by 31%. Conclusion: Electronic patient records in everyday clinical use in Swedish general practice provide several fundamentals for a database of diagnostic data. However, there are several barriers to the establishment of such a database that is both valid and reliable. ⌐ 2002 Elsevier Science Ireland Ltd. All rights reserved.

Place, publisher, year, edition, pages
2002. Vol. 65, no 2, 135-143 p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-24558DOI: 10.1016/S1386-5056(02)00012-6Local ID: 6720OAI: diva2:244879
Available from: 2009-10-07 Created: 2009-10-07 Last updated: 2011-01-13

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