Electronic medical records may be inadequate for improving population health status through general practice: cervical smears as a case study
Australian and New Zealand journal of public health, 2004•Wiley Online Library
Objective: To determine whether routine electronic records are an accurate source of
population health data in general practice through reviewing cervical smears rates in four
South Australian practices. Methods: The cervical screening rate in a purposive sample of
four general practices (three rural and one urban) was obtained using an audit of medical
records and a telephone follow‐up. Results: The cervical screening rate using only
immediately available electronic medical records indicated an overall low rate for the …
population health data in general practice through reviewing cervical smears rates in four
South Australian practices. Methods: The cervical screening rate in a purposive sample of
four general practices (three rural and one urban) was obtained using an audit of medical
records and a telephone follow‐up. Results: The cervical screening rate using only
immediately available electronic medical records indicated an overall low rate for the …
Abstract
Objective:To determine whether routine electronic records are an accurate source of population health data in general practice through reviewing cervical smears rates in four South Australian practices.
Methods:The cervical screening rate in a purposive sample of four general practices (three rural and one urban) was obtained using an audit of medical records and a telephone follow‐up.
Results:The cervical screening rate using only immediately available electronic medical records indicated an overall low rate for the participating practices (44.9%). However, telephone follow‐up and adjustments to the denominator indicated the real rate to be 85.7%. The offer of appointments during the telephone follow‐up further improved this rate for eligible women (93.8%).
Conclusions and implications:Electronic medical records may be inadequate in preventive screening in general practice, without ensuring their accuracy. Updating records by telephone or personal follow‐up produces a much more accurate denominator.
Wiley Online Library以上显示的是最相近的搜索结果。 查看全部搜索结果