ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2003
The quality of record keeping in primary care: a comparison of computerised, paper and hybrid systems.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled it.
What it found
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Impact of electronic medical record on physician practice in office settings: a systematic review.BMC medical informatics and decision making · 2012Pooled it
- What are the roles involved in establishing and maintaining informational continuity of care within family practice? A systematic review.BMC family practice · 2008Pooled it
- The nature of informational continuity of care in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2008Pooled it
- The impact of the electronic medical record on structure, process, and outcomes within primary care: a systematic review of the evidence.Journal of the American Medical Informatics Association : JAMIAPooled it
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- Quantifying the risk of Hodgkin lymphoma in symptomatic primary care patients aged ≥40 years: a case-control study using electronic records.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015Article
- Quantifying the risk of non-Hodgkin lymphoma in symptomatic primary care patients aged ≥40 years: a large case-control study using electronic records.The British journal of general practice : the journal of the Royal College of General Practitioners · 2015Article
- Data collection methods in health services research: hospital length of stay and discharge destination.Applied clinical informatics · 2015Article
- Article
- Comparison of cancer diagnostic intervals before and after implementation of NICE guidelines: analysis of data from the UK General Practice Research Database.British journal of cancer · 2014Article
- Evaluation of Electronic Medical Record (EMR) at large urban primary care sexual health centre.PloS one · 2013Article
- Cardiovascular risk management in patients with coronary heart disease in primary care: variation across countries and practices. An observational study based on quality indicators.BMC family practice · 2012Article
- Does quality of care for hypertension in primary care vary with postcode area deprivation? An observational study.BMC health services research · 2011Article
- [Not Available].African journal of infectious diseases · 2010Article
- The CAPER studies: five case-control studies aimed at identifying and quantifying the risk of cancer in symptomatic primary care patients.British journal of cancer · 2009Article
- Recorded quality of care for depression in general practice: an observational study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2009Article
- Quality of clinical primary care and targeted incentive payments: an observational study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2007Article
- Identifying priorities in methodological research using ICD-9-CM and ICD-10 administrative data: report from an international consortium.BMC health services research · 2006Article
- Paper versus electronic documentation in complex chronic illness: a comparison.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2006Article
- Clinical features of colorectal cancer before diagnosis: a population-based case-control study.British journal of cancer · 2005Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundComputerised record keeping in primary care is increasing. However, no study has systematically examined the completeness of computer records in practices using different forms of record keeping.
aimTo compare computer-only record keeping to paper-only and hybrid systems, by measuring the number of consultations and symptoms recorded within individual consultations. DESIGN OF STUDY: Retrospective cohort study.
settingEighteen general practices in the Exeter Primary Care Trust.
methodThis study was part of a retrospective case control study of cancer patients aged over 40 years. All recorded consultations for a 2-year period were identified and coded for 1396 patients. Records were classified as paper, computer, or hybrid, depending on which medium stored the clinical information from consultations.
resultsMore consultations were recorded in hybrid systems (median in 2 years = 11, interquartile range [IQR] = 6-18) than computer systems (median in 2 years = 9, IQR = 4-16.5) or paper systems (median in 2 years = 8, IQR = 5-14,): P <0.001. In a Poisson regression analysis, which included age, sex, and future cancer diagnosis, the rates of consultations recorded in paper and computer systems were 16% and 11% lower, respectively, than in hybrid systems. Fewer telephone consultations were recorded in paper systems, and fewer home visits in computer systems. Fewer symptoms were recorded in individual consultations on computer systems. Recording of absent symptoms and severity of symptoms was highest in paper systems.
conclusionHybrid systems of primary care record keeping document higher numbers of consultations than computer-only or paper-only systems. The quality of individual consultation recording is highest in paper-only systems. This has medicolegal implications and may impact upon continuity of care.
Indexed as
Identifiers
14960216PMC1314745What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.