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https://hdl.handle.net/2440/6064
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Type: | Journal article |
Title: | Electronic medical records may be inadequate for improving population health status through general practice: cervical smears as a case study |
Author: | Laurence, C. Burgess, T. Beilby, J. Symon, B. Wilkinson, D. |
Citation: | Australian and New Zealand Journal of Public Health, 2004; 28(4):317-320 |
Publisher: | Public Health Assoc Australia Inc |
Issue Date: | 2004 |
ISSN: | 1326-0200 1753-6405 |
Statement of Responsibility: | Caroline O.M. Laurence, Teresa Burgess, Justin Beilby, Brian Symon and David Wilkinson |
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. |
Keywords: | Humans Vaginal Smears Health Status Indicators Medical Records Systems, Computerized Family Practice Adolescent Adult Aged Middle Aged South Australia Uterine Cervical Neoplasms Female |
Description: | Copyright © 2004 Public Health Association Australia |
DOI: | 10.1111/j.1467-842X.2004.tb00436.x |
Published version: | http://dx.doi.org/10.1111/j.1467-842x.2004.tb00436.x |
Appears in Collections: | Aurora harvest 5 General Practice publications |
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