Electronic Health Record and Problem Lists in Leeds, United Kingdom: Variability of general practitioners' views
Electronic Health Record and Problem Lists in Leeds, United Kingdom: Variability of general practitioners' views
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DOI：
10.1177/1460458219895184
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发表时间：
2019-12-25
影响因子：
3
通讯作者：
Sbaffi, Laura
中科院分区：
文献类型：
--
作者：
Martin, Pablo Millares;Sbaffi, Laura
在利兹，电子健康记录的数据共享是通过所谓的“利兹护理记录”实现的，该记录从初级护理收集一组特定的代码，称为“活动问题”，并将其呈现给用户。其内容的可变性是一个已知的问题。探讨全科医生对他们使用“活动问题”和共享数据的看法，以便在如何同质化和改善共享数据方面吸取教训。评估利兹全科医生的意见，通过两个平行的过程（60个在线调查和17个访谈）。全科医生认为他们没有时间也没有必要的培训来保持一个共享的方法，以简明和当前的问题列表在电子病历。需要采取行动减少目前的变化，并提高共享信息的质量。目前存在于问题列表中的某些类型的代码在全科医生中几乎没有支持，他们认为重点应该放在长期条件上，可能会增加当前的急性诊断和预期寿命项目，而不是省略敏感信息。如果要提高问题清单的质量，就需要培训和时间来更新问题清单。
Data sharing of Electronic Health Records from general practices to secondary care in Leeds occurs through the so-called Leeds Care Records, which collects a specific set of codes from primary care, known as 'Active Problems', and presents it to the user. Variability on its content is a known issue. To explore general practitioners' views on their use of 'Active Problems' and on sharing data, so lessons could be learnt on how to homogenise and improve shared data. Assessing Leeds general practitioners' views through two parallel processes (60 online surveys and 17 interviews). General practitioners feel they do not have the time nor the training required for keeping a shared approach to concise and current Problem Lists in electronic patient records. Action is needed to reduce current variability, and to improve the quality of shared information. Some types of codes currently present in Problem Lists have very little support among general practitioners who consider the focus should be on long-term conditions and probably adding current acute diagnoses and life expectancy items and not omitting sensitive information. There is a perceived need of training and time to update Problem Lists if their quality is to improve.