ArticleBMJ (Clinical research ed.)1990
A total audit of preventive procedures in 45 practices caring for 430,000 patients.
Article in BMJ (Clinical research ed.), 1990. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Effectiveness and cost of different strategies for information feedback in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 1994Trial
- Do standardised patients lose their confidence in primary medical care? Personal experiences of standardised patients with GPs.The British journal of general practice : the journal of the Royal College of General Practitioners · 2006Article
- Auditing the management of hypertension in British general practice: a critical literature review.The British journal of general practice : the journal of the Royal College of General Practitioners · 1998Review
- Audit of preventive activities in 16 inner London practices using a validated measure of patient population, the 'active patient' denominator. Healthy Eastenders Project.The British journal of general practice : the journal of the Royal College of General Practitioners · 1995Article
- Using patient and general practice characteristics to explain variations in cervical smear uptake rates.BMJ (Clinical research ed.) · 1994Article
- Lifestyle advice in general practice: rates recalled by patients.BMJ (Clinical research ed.) · 1992Article
- General practice in Gloucestershire, Avon and Somerset: explaining variations in standards.The British journal of general practice : the journal of the Royal College of General Practitioners · 1992Article
- Large computer databases in general practice.BMJ (Clinical research ed.) · 1991Article
- Total audit of preventive practices.BMJ (Clinical research ed.) · 1990Article
Corrections and comments
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3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo develop and report the results of a system of audit of computer records in general practice.
designA retrospective audit of records in practices using the same computer system. Information about recorded preventive procedures was collected by sending the same audit program to each practice on floppy disk. Other characteristics of the practices were determined by postal questionnaire.
settingForty five general practices, widely distributed in England and Wales. SUBJECTS: All 430,901 patients registered with the practices.
main outcome measuresWithin each practice the percentage of patients in specified age groups for whom certain preventive procedures were recorded as having been carried out. These measures were analysed in relation to practice characteristics.
resultsPractice characteristics and recording rates for preventive procedures varied over a wide range. Recording rates were higher in practices with computer terminals on every doctor's desk. Only one practice achieved the new contract target of 90% coverage for recorded primary immunisations, and fewer than two thirds recorded 80% coverage for cervical cytology in the past five years. Practices holding clinics did no better than those without. Smaller partnerships and smaller doctors' list sizes were associated with better performance.
conclusionsCentrally programmed audit of computerised records is a feasible method of providing data on a regular basis for epidemiological purposes and for performance review. The fact that practices with smaller list sizes had higher levels of recorded preventive care suggests that the trend towards larger lists promoted by the new contract might militate against the intended effect of better preventive care.
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