At 3:44 pm +1000 9/7/07, David Guest wrote:
Tim Churches wrote:
Greg Twyford wrote:
Colleagues,
This from recent PHCRIS conference:
<http://www.phcris.org.au>
GP & PHC Research Conference Abstracts 2007
Effect of computerisation on quality of general practice care-a
comparison with quality indicators
I suspect that this study may fall foul of the "ecological fallacy" -
that is, the analysis is of aggregate measures of care (eg how many
HbA1cs are done on each GP's set of patients) but it is drawing
conclusions about the quality of individual patient care. Such analyses
are prone to potentially misleading mistakes
I was invited to contribute to the collection of BEACH data a few
years ago. I declined because they wanted to collect the data on
paper. How antediluvian!
David
I was invited to collect data for BEACH recently. I declined because
the data collection is *still* on paper and no signs of it going
electronic anytime soon.
Seeing that I already collect most of what Beach needs, electronic
could permit me to participate for small additional time cost. Double
data entry is not worthwhile to any busy GP.
What was written in what Greg posted reflects the likely truth - that
computerised GPs running recall and reminder systems, etc probably do
better on acheiving management targets. Naturally one would expect
that using a target measurement/feedback system will achieve process
improvements (which might be called "quality").
Measuring proper outcomes comparing routine computerised vs paper
practice is still something that hasn't been done (well not anywhere
in the world last I looked a couple of years ago).
Ian.
--
Dr Ian R Cheong, BMedSc, FRACGP, GradDipCompSc, MBA(Exec)
Health Informatics Consultant, Brisbane, Australia
Internet: [EMAIL PROTECTED]
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