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Volumn 13, Issue 6, 1996, Pages 536-543

Facing future challenges in general practice: a clinical method with computer support

Author keywords

Family practice; Medical informatics; Models; Philosophy; Physician patient relationships

Indexed keywords

ARTICLE; CLINICAL PRACTICE; COMPUTER SYSTEM; GENERAL PRACTICE; GENERAL PRACTITIONER; HEALTH CARE QUALITY; HUMAN; INFORMATION SYSTEM; MEDICAL DECISION MAKING; PATIENT CARE; PRIMARY HEALTH CARE; SELF CARE; TIME;

EID: 0030465896     PISSN: 02632136     EISSN: None     Source Type: Journal    
DOI: 10.1093/fampra/13.6.536     Document Type: Article
Times cited : (14)

References (62)
  • 2
    • 0023050452 scopus 로고
    • Are we on the brink of a major transformation of clinical method?
    • McWhinney IR. Are we on the brink of a major transformation of clinical method? Can Med Assoc J 1986; 135: 873-878.
    • (1986) Can Med Assoc J , vol.135 , pp. 873-878
    • McWhinney, I.R.1
  • 3
    • 0022608177 scopus 로고
    • The patient-centred clinical method. 1. A model for the doctor-patient interaction in family medicine
    • Levenstein JH, McCracken EC, McWhinney IR, Stewart MA, Brown JB. The patient-centred clinical method. 1. A model for the doctor-patient interaction in family medicine. Fam Pract 1986; 3: 14-30.
    • (1986) Fam Pract , vol.3 , pp. 14-30
    • Levenstein, J.H.1    McCracken, E.C.2    McWhinney, I.R.3    Stewart, M.A.4    Brown, J.B.5
  • 5
    • 0021156162 scopus 로고
    • What is a successful doctor-patient interview? A study of interactions and outcomes
    • Stewart MA. What is a successful doctor-patient interview? A study of interactions and outcomes. Soc Sci Med 1984; 19: 167-175.
    • (1984) Soc Sci Med , vol.19 , pp. 167-175
    • Stewart, M.A.1
  • 7
    • 0022964514 scopus 로고
    • Predictors of outcome in headache patients presenting to family physicians - A one year prospective study
    • Bass MJ, McWhinney IR, Dempsey JB et al. Predictors of outcome in headache patients presenting to family physicians - a one year prospective study. Headache 1986; 26: 285-294.
    • (1986) Headache , vol.26 , pp. 285-294
    • Bass, M.J.1    McWhinney, I.R.2    Dempsey, J.B.3
  • 8
    • 0018599884 scopus 로고
    • The components of sickness: Disease, illnesses and predicaments
    • Taylor DC. The components of sickness: Disease, illnesses and predicaments. Lancet 1979; ii: 1008-1010.
    • (1979) Lancet , vol.2 , pp. 1008-1010
    • Taylor, D.C.1
  • 9
    • 0017539642 scopus 로고
    • The doctor, his patient, and his illness: A reappraisal
    • Sowerby P. The doctor, his patient, and his illness: a reappraisal. J R Coll Gen Pract 1977; 27: 583-589.
    • (1977) J R Coll Gen Pract , vol.27 , pp. 583-589
    • Sowerby, P.1
  • 11
    • 0026775637 scopus 로고
    • Evidence-based medicine
    • Evidence-Based Medicine Working Group. Evidence-based medicine. JAMA 1992; 268: 2420-2425.
    • (1992) JAMA , vol.268 , pp. 2420-2425
  • 12
    • 0028963467 scopus 로고
    • Evidence based medicine: An approach to clinical problem-solving
    • Rosenberg W, Donald A. Evidence based medicine: an approach to clinical problem-solving. Br Med J 1995; 310: 1122-1126.
    • (1995) Br Med J , vol.310 , pp. 1122-1126
    • Rosenberg, W.1    Donald, A.2
  • 13
    • 0023214745 scopus 로고
    • How physicians can improve patients' participation and maintenance in self-care
    • Green LW. How physicians can improve patients' participation and maintenance in self-care. West J Med 1987; 147: 346-349.
    • (1987) West J Med , vol.147 , pp. 346-349
    • Green, L.W.1
  • 14
    • 0027210954 scopus 로고
    • Continuing education for general practice. 1. Experience, competence and the media of self-directed learning for established GPs
    • Stanley I, Al-Shehri A, Thomas P. Continuing education for general practice. 1. Experience, competence and the media of self-directed learning for established GPs. Br J Gen Pract 1993; 43: 210-214.
    • (1993) Br J Gen Pract , vol.43 , pp. 210-214
    • Stanley, I.1    Al-Shehri, A.2    Thomas, P.3
  • 15
    • 0027178577 scopus 로고
    • Continuing education for general practice. 2. Systematic learning from experience
    • Al-Shehri A, Stanley I, Thomas P. Continuing education for general practice. 2. Systematic learning from experience. Br J Gen Pract 1993; 43: 249-253.
    • (1993) Br J Gen Pract , vol.43 , pp. 249-253
    • Al-Shehri, A.1    Stanley, I.2    Thomas, P.3
  • 16
    • 0025122015 scopus 로고
    • Clinical decision making: From theory to practice. The challenge
    • Eddy DM. Clinical decision making: from theory to practice. The challenge. JAMA 1990; 263: 287-290.
    • (1990) JAMA , vol.263 , pp. 287-290
    • Eddy, D.M.1
  • 17
    • 84950643783 scopus 로고
    • The computer in the consulting room: A psychological framework
    • Fitter MJ; Cruickshank PJ. The computer in the consulting room: a psychological framework. Behav Info Tech 1982; 1: 81-92.
    • (1982) Behav Info Tech , vol.1 , pp. 81-92
    • Fitter, M.J.1    Cruickshank, P.J.2
  • 18
    • 0029447959 scopus 로고
    • A new health care record paradigm for family practice - Goal orientation
    • Purves IN. A new health care record paradigm for family practice - goal orientation. Proc MedInfo '95 1995: 245-248.
    • (1995) Proc MedInfo '95 , pp. 245-248
    • Purves, I.N.1
  • 19
    • 0029946342 scopus 로고    scopus 로고
    • Medical records and other stories
    • Kay S, Purves IN. Medical records and other stories. Methods Inf Med 1996; 35: 72-87.
    • (1996) Methods Inf Med , vol.35 , pp. 72-87
    • Kay, S.1    Purves, I.N.2
  • 21
    • 0025720683 scopus 로고
    • Use and sources of medical knowledge
    • Wyatt J. Use and sources of medical knowledge. Lancet 1991; 338: 1368-1373.
    • (1991) Lancet , vol.338 , pp. 1368-1373
    • Wyatt, J.1
  • 22
    • 0026920166 scopus 로고
    • Uncertainty in medicine: Can it be reduced?
    • Giraud A. Uncertainty in medicine: can it be reduced? Qual Health Care 1992; 1: 150-151.
    • (1992) Qual Health Care , vol.1 , pp. 150-151
    • Giraud, A.1
  • 24
    • 0025011741 scopus 로고
    • A cognitive perspective on medical expertise: Theory and implications
    • Schmidt HG, Norman GR, Boshuizen HPA. A cognitive perspective on medical expertise: Theory and implications. Acad Med 1990; 65: 611-621.
    • (1990) Acad Med , vol.65 , pp. 611-621
    • Schmidt, H.G.1    Norman, G.R.2    Boshuizen, H.P.A.3
  • 25
    • 0038886034 scopus 로고
    • Clinical decision = patient with problem + doctor with problem
    • Sheldon MG; Brooke JB; Rector AL (eds). London: Macmillan
    • Brooke JB, Sheldon MG. Clinical decision = patient with problem + doctor with problem. In Sheldon MG; Brooke JB; Rector AL (eds). Decision-making in general practice. London: Macmillan, 1985: 95-105.
    • (1985) Decision-making in General Practice , pp. 95-105
    • Brooke, J.B.1    Sheldon, M.G.2
  • 26
    • 0018514830 scopus 로고
    • The variability and inaccuracy of medical data
    • Komaroff AL. The variability and inaccuracy of medical data. Proc IEEE 1979; 67: 1196-1207.
    • (1979) Proc IEEE , vol.67 , pp. 1196-1207
    • Komaroff, A.L.1
  • 29
    • 0023720285 scopus 로고
    • Principles of changing health behavior
    • Eriksen MP, Green LW, Fultz FG. Principles of changing health behavior. Cancer 1988; 62: 1768-1775.
    • (1988) Cancer , vol.62 , pp. 1768-1775
    • Eriksen, M.P.1    Green, L.W.2    Fultz, F.G.3
  • 30
    • 0022573935 scopus 로고
    • Validation of a decision model for triaging hypertensive patients to alternate health education interventions
    • Hatcher ME, Green LW, Levine DM, Flagle CE. Validation of a decision model for triaging hypertensive patients to alternate health education interventions. Soc Sci Med 1986; 22: 813-819.
    • (1986) Soc Sci Med , vol.22 , pp. 813-819
    • Hatcher, M.E.1    Green, L.W.2    Levine, D.M.3    Flagle, C.E.4
  • 31
    • 0023037014 scopus 로고
    • From determinants of smoking behavior to the implications for a prevention programme
    • de Vries H, Dijkstra M, Kuhlman P. From determinants of smoking behavior to the implications for a prevention programme. Health Educ Res 1986; 1: 85-94.
    • (1986) Health Educ Res , vol.1 , pp. 85-94
    • De Vries, H.1    Dijkstra, M.2    Kuhlman, P.3
  • 32
    • 0027570858 scopus 로고
    • A walking education programme for patients with osteoarthritis of the knee: Theory and intervention strategies
    • Allegrante JP, Kovar PA, MacKenzie CR, Peterson MGE, Gutin B. A walking education programme for patients with osteoarthritis of the knee: Theory and intervention strategies. Health Educ Quart 1993; 20: 63-81.
    • (1993) Health Educ Quart , vol.20 , pp. 63-81
    • Allegrante, J.P.1    Kovar, P.A.2    MacKenzie, C.R.3    Peterson, M.G.E.4    Gutin, B.5
  • 33
    • 0026768993 scopus 로고
    • Paternalism and the doctor-patient relationship
    • McKinstry B. Paternalism and the doctor-patient relationship. Br J Gen Pract 1992; 42: 340-342.
    • (1992) Br J Gen Pract , vol.42 , pp. 340-342
    • McKinstry, B.1
  • 35
    • 0027564265 scopus 로고
    • Computer-based patient education: A progress report
    • Kahn G. Computer-based patient education: A progress report. MD Comput 1993; 10: 93-99.
    • (1993) MD Comput , vol.10 , pp. 93-99
    • Kahn, G.1
  • 37
    • 0026707666 scopus 로고
    • Evidence for the effectiveness of CME: A review of 50 randomised controlled trials
    • Davis DA, Thomson MA, Oxman A, Haynes RB. Evidence for the effectiveness of CME: A review of 50 randomised controlled trials. JAMA 1992; 268: 1111-1117.
    • (1992) JAMA , vol.268 , pp. 1111-1117
    • Davis, D.A.1    Thomson, M.A.2    Oxman, A.3    Haynes, R.B.4
  • 39
    • 8944229941 scopus 로고
    • The current state and future needs of the electronic medical record for primary health care: A pragmatic view for the United Kingdom
    • Teasdale S, Bradley P (eds). Primary Health Care Specialist Group
    • Purves IN. The current state and future needs of the electronic medical record for primary health care: A pragmatic view for the United Kingdom. In Teasdale S, Bradley P (eds). Proceedings of the Annual Conference of the Primary Health Care Specialist Group of the British Computer Society. Primary Health Care Specialist Group, 1993: 113-122.
    • (1993) Proceedings of the Annual Conference of the Primary Health Care Specialist Group of the British Computer Society , pp. 113-122
    • Purves, I.N.1
  • 41
    • 0027423182 scopus 로고
    • Effect of clinical guidelines on medical practice: A systematic review of rigorous evaluations
    • Grimshaw JM, Russell IT. Effect of clinical guidelines on medical practice: a systematic review of rigorous evaluations. Lancet 1993; 342: 1317-1322.
    • (1993) Lancet , vol.342 , pp. 1317-1322
    • Grimshaw, J.M.1    Russell, I.T.2
  • 42
    • 0028156822 scopus 로고
    • The effects of computer based clinical decision support systems on clinician performance and patients outcome. A critical appraisal of research
    • Johnston ME, Langton KB, Haynes RB, Mathieu A. The effects of computer based clinical decision support systems on clinician performance and patients outcome. A critical appraisal of research. Ann Intern Med 1994; 120: 135-142.
    • (1994) Ann Intern Med , vol.120 , pp. 135-142
    • Johnston, M.E.1    Langton, K.B.2    Haynes, R.B.3    Mathieu, A.4
  • 43
    • 0029125655 scopus 로고
    • Has GP computing made a difference to patient care? A systematic review of published reports
    • Sullivan F, Mitchell E. Has GP computing made a difference to patient care? A systematic review of published reports. Br Med J 1995; 311: 848-852.
    • (1995) Br Med J , vol.311 , pp. 848-852
    • Sullivan, F.1    Mitchell, E.2
  • 44
    • 0026824806 scopus 로고
    • Patient on-line access to medical records in general practice
    • Jones RB, McGhee SM, McGhee D. Patient on-line access to medical records in general practice. Health Bull (Edin) 1992; 50: 143-150.
    • (1992) Health Bull (Edin) , vol.50 , pp. 143-150
    • Jones, R.B.1    McGhee, S.M.2    McGhee, D.3
  • 45
    • 0023212353 scopus 로고
    • Comparisons between written and computerised patient histories
    • Quaak MJ, Westerman RF, van Bemmel JH. Comparisons between written and computerised patient histories. Br Med J 1987; 295: 184-190.
    • (1987) Br Med J , vol.295 , pp. 184-190
    • Quaak, M.J.1    Westerman, R.F.2    Van Bemmel, J.H.3
  • 46
    • 0029442357 scopus 로고
    • Patient entries in the electronic medical record: An interactive interview used in primary care
    • Wald JS, Rind D, Safran C, Kowaloff H, Barker R, Slack W. Patient entries in the electronic medical record: An interactive interview used in primary care. JAMIA 1995; Symposium Supplement 2: 147-151.
    • (1995) JAMIA , Issue.2 SYMPOSIUM SUPPL. , pp. 147-151
    • Wald, J.S.1    Rind, D.2    Safran, C.3    Kowaloff, H.4    Barker, R.5    Slack, W.6
  • 47
    • 0027033558 scopus 로고
    • CHESS: A computer-based system for providing information, referrals, decision support and social support to people facing medical and other health-related crises
    • Gustafson DH, Bosworth K, Hawkins RP, Boberg EW, Bricker E. CHESS: A computer-based system for providing information, referrals, decision support and social support to people facing medical and other health-related crises. Proc Ann Symp Comp Appl Med Care 1992: 161-165.
    • (1992) Proc Ann Symp Comp Appl Med Care , pp. 161-165
    • Gustafson, D.H.1    Bosworth, K.2    Hawkins, R.P.3    Boberg, E.W.4    Bricker, E.5
  • 48
    • 26844448168 scopus 로고    scopus 로고
    • http://www.slackinc.com/matrix/PATIENT.HTML
  • 49
    • 26844454411 scopus 로고    scopus 로고
    • http://www.omni.ac.uk/
  • 50
    • 0029371863 scopus 로고
    • Internet news: Patient handouts from the Internet
    • Zelingher J. Internet news: Patient handouts from the Internet. MD Comp 1995; 12: 338-359.
    • (1995) MD Comp , vol.12 , pp. 338-359
    • Zelingher, J.1
  • 52
    • 0028849068 scopus 로고
    • Assessment of the completeness and accuracy of computer medical records in four practices committed to recording data on computer
    • Pringle M, Ward P, Chilvers C. Assessment of the completeness and accuracy of computer medical records in four practices committed to recording data on computer. Br J Gen Pract 1995; 45: 537-541.
    • (1995) Br J Gen Pract , vol.45 , pp. 537-541
    • Pringle, M.1    Ward, P.2    Chilvers, C.3
  • 53
    • 26844557236 scopus 로고
    • An analysis of the use of READ codes in United Kingdom general practice: Preliminary report on Phase 1: the semantics of the top 50 codes used as problem titles for patient encounters
    • Teasdale S, Bradley P (eds). Primary Health Care Specialist Group
    • Purves IN. An analysis of the use of READ codes in United Kingdom general practice: Preliminary report on Phase 1: The semantics of the top 50 codes used as problem titles for patient encounters. In Teasdale S, Bradley P (eds). Proceedings of the Annual Conference of the Primary Health Care Specialist Group of the British Computer Society. Primary Health Care Specialist Group, 1993: 39-54.
    • (1993) Proceedings of the Annual Conference of the Primary Health Care Specialist Group of the British Computer Society , pp. 39-54
    • Purves, I.N.1
  • 54
    • 0029061204 scopus 로고
    • Computerized decision support systerns in primary care
    • Elson RB, Connelly DP. Computerized decision support systerns in primary care. Med Dec Making 1995; 22: 365-384.
    • (1995) Med Dec Making , vol.22 , pp. 365-384
    • Elson, R.B.1    Connelly, D.P.2
  • 55
    • 0025237202 scopus 로고
    • The GP's dilemmas: A study of knowledge need and use during health care consultations
    • Timpka T, Arborelius E. The GP's dilemmas: a study of knowledge need and use during health care consultations. Methods Inf Med 1990; 29: 23-29.
    • (1990) Methods Inf Med , vol.29 , pp. 23-29
    • Timpka, T.1    Arborelius, E.2
  • 56
    • 0026489158 scopus 로고
    • DERMIS: A computer system for assisting primary-care physicians with dermatological diagnosis
    • Brooks GJ, Ashton RE, Pethybridge RJ. DERMIS: a computer system for assisting primary-care physicians with dermatological diagnosis. Br J Denn 1992; 127: 614-619.
    • (1992) Br J Denn , vol.127 , pp. 614-619
    • Brooks, G.J.1    Ashton, R.E.2    Pethybridge, R.J.3
  • 57
    • 0027528886 scopus 로고
    • Philosophies for the design and development of clinical decision support systems
    • Heathfield HA, Wyatt J. Philosophies for the design and development of clinical decision support systems. Methods Inf Med 1993; 32: 1-8.
    • (1993) Methods Inf Med , vol.32 , pp. 1-8
    • Heathfield, H.A.1    Wyatt, J.2
  • 58
    • 0024839920 scopus 로고
    • 'Desktop Knowledge': A new focus for medical education and decision support
    • Greenes RA. 'Desktop Knowledge': A new focus for medical education and decision support. Methods Inf Med 1989; 28: 332-339.
    • (1989) Methods Inf Med , vol.28 , pp. 332-339
    • Greenes, R.A.1
  • 59
    • 26844464248 scopus 로고
    • A hypermedia document collection for primary care: Why, what and how?
    • Timpka T, Hedblom P, Tibblin G. A hypermedia document collection for primary care: why, what and how? Art Intell Med 1990; 2: 179-192.
    • (1990) Art Intell Med , vol.2 , pp. 179-192
    • Timpka, T.1    Hedblom, P.2    Tibblin, G.3
  • 60
    • 0022712288 scopus 로고
    • An interactive computerised protocol for the management of hypertension: Effects on the GPs clinical behaviour
    • Brownridge G, Evans A, Fitter M, Platts M. An interactive computerised protocol for the management of hypertension: effects on the GPs clinical behaviour. J R Coll Gen Pract 1986; 36: 198-202.
    • (1986) J R Coll Gen Pract , vol.36 , pp. 198-202
    • Brownridge, G.1    Evans, A.2    Fitter, M.3    Platts, M.4
  • 61
    • 0028389342 scopus 로고
    • Achieving health gain with clinical guidelines. II - Ensuring that guidelines change medical practice
    • Grimshaw JM, Russell IT. Achieving health gain with clinical guidelines. II - Ensuring that guidelines change medical practice. Qual Health Care 1994; 3: 45-52.
    • (1994) Qual Health Care , vol.3 , pp. 45-52
    • Grimshaw, J.M.1    Russell, I.T.2
  • 62
    • 0029422215 scopus 로고
    • Computerised guidelines in primary care: Reflections and implications
    • Gordon C, Christensen JP (eds). Technology and Informatics, 16. Amsterdam: IOS Press
    • Purves IN. Computerised guidelines in primary care: reflections and implications. In Gordon C, Christensen JP (eds). Health telematics for clinical guidelines and protocols. Technology and Informatics, 16. Amsterdam: IOS Press, 1995: 57-74.
    • (1995) Health Telematics for Clinical Guidelines and Protocols , pp. 57-74
    • Purves, I.N.1


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