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, Schattauer