OBJECTIVE: In UK general practice, the coding of clinical data (Read Coding) is far from universal. This study set out to examine the barriers to recording structured information in computerised medical records; and to explore whether managers and clinicians had different perspectives in how these barriers should be overcome. METHOD: A qualitative study, using semi-structured interviews of general practitioners, primary care nurses and practice managers...
Keywords: Structured data, classification systems, computerised medical record, primary care, General Practice, Medical Informatics
01/2003 | Methods of Information in Medicine, SchattauerOBJECTIVES: The paper describes how an objective score (CCscore) of the completeness and currency of codified clinical information relevant to the management of diabetes mellitus may be derived for individual practices. METHODS: A questionnaire was developed and administered to 35 practices and statistical methods were used to test for correlation between the prevalence for diabetes mellitus and the relevant CCscores RESULTS: No significant correlation could be found. CONCLUSIONS: The quality of computer-stored information varies widely across English General practices for reasons that are incompletely understood...
Keywords: Information, standards, Computerized Medical Records, completeness and currency of information, family practice, primary care
01/2003 | Methods of Information in Medicine, SchattauerThe evaluation of cardiac endocrine function by means of automated robust assays has permitted the introduction of a cheap and powerful clinical tool...
Keywords: B-type natriuretic peptides, diagnosis, Heart failure, primary care, Prognosis, screening
11/2008 | Clinical Chemical Laboratory Medicine, Walter de Gruyter