Document Detail


Advantages of long observation in episode-oriented electronic patient records in family practice.
MedLine Citation:
PMID:  11501637     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
From 1985-2000, 58 Dutch family physicians (FPs) of the Transition Project collected ICPC-coded data on 47, 2451 episodes of care, first in paper records for direct encounters only, later with a complete electronic patient record (EPR) for all (direct and indirect) encounters. Based on these data, the effects of a long observation period and the inclusion of all encounters (both direct and indirect) in the EPR were studied. Long observation periods in EPRs appear to have important advantages for patient documentation and the assessment of the content of family practice. Comparison of data from a one-year versus a four-year observation period showed a shift in utilization rates. In a long observation period, visiting patients appeared to make less demand on care, while the content of the FP's care for selected chronic diseases was reflected more realistically. The inclusion of all indirect encounters in an EPR (as compared to the previous inclusion of direct encounters only) resulted in more than twice the number of coded entries per listed patient, and thus led to a major shift in perspective on the FP's involvement in patient care.
Authors:
I M Okkes; A Groen; S K Oskam; H Lamberts
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Methods of information in medicine     Volume:  40     ISSN:  0026-1270     ISO Abbreviation:  Methods Inf Med     Publication Date:  2001 Jul 
Date Detail:
Created Date:  2001-08-14     Completed Date:  2001-10-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0210453     Medline TA:  Methods Inf Med     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  229-35     Citation Subset:  IM    
Affiliation:
Department of Family Practice, Academic Medical Center, University of Amsterdam, The Netherlands. i.m.okkes@amc.uva.nl
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Child
Child, Preschool
Data Collection / methods*
Episode of Care
Family Practice / statistics & numerical data*
Humans
Infant
Infant, Newborn
Medical Records Systems, Computerized / statistics & numerical data*
Middle Aged
Netherlands
Observation
Office Visits / statistics & numerical data
Time Factors
Utilization Review / statistics & numerical data*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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