Why general practitioners use computers and hospital doctors do not.

it is two part cours work i will attached the sample data 10 patient record to use for course work and i will attached the resources
first part is to design interface for sample data 10 patient record
second one is to write an essay
Suggested title: Computer mediated clinical consultations; the impact of the computer

Suggested headings and marks available;
Introduction (5 marks)
Medical record and its role (20 marks)
Introduction of the computer to support clinical consultations (20 marks)
Impact on the patient care (20 marks)
Impact on the health system (20 marks)
Discussion and conclusion (10 marks)

Referencing, writing style, format (5 marks)

1. Benson T. Why general practitioners use computers and hospital doctors do not. BMJ 2002;325:1086–9:1086-1093.
2. Grummit A. Real-Time Record Management in General Practice. Inf. J. Bio-Medical Computing 1977;8
3. Bradshaw¬Smith JH. A computer record¬keeping system for general practice. BMJ 1976;i:1395¬7.

part 1
The purpose of this activity is give you the opportunity to experience at first hand some of the challenges faced by clinical systems designers, to support coded and free text data entry during the consultation. Organising the functionality and content of a computerised system into a structure that people are able to navigate intuitively doesn’t happen by chance. You are supplied with ten patient records, go through them and design an interface model that can be used by a programmer to develop a clinical data entry screen. Your design should indicate data entry areas, their headings, navigation aids etc. You are free to use any interface design software tools, or even MS word or MS PowerPoint drawing objects.

part2:
Initial computerisation attempts in primary care were initiated by enthusiasts, to automate the time consuming routine tasks. Prescribing and recall tasks were computerised at the beginning. Although direct data entry during the consultation was most desired by the designers of those early systems, technical limitations hindered their introduction to consultation rooms.

General Practice computerisation trials that took place from mid 1960s to mid 1970s established the useful features for its information architecture. Subsequent developments were chiefly aimed at making those features deployable, affordable and attractive to the GP community. Design specifications of some early EPR systems represent characteristics and functionalities that are comparable to current systems. Review the information system features introduced by the early attempts at the computerisation of the patient record based on the following three journal publications, and produce a short reports focusing on the functional features available. For example, you can discuss features associated with the patient record (e.g. an integrated patient record (IPR) for each patient in the Exeter system), types of Interactions with the record (e.gPatient record can be maintained fully by the doctor during the consultation) , decision and task support (e.g. Automatically generated alerts for past due dates), system and data access (e.g. Access control with passwords and user rights, designated sensitive areas). Word limit: 1500 +/- 10% words.

Marks: 50%

Suggested title: Computer mediated clinical consultations; the impact of the computer

Suggested headings and marks available;
Introduction (5 marks)
Medical record and its role (20 marks)
Introduction of the computer to support clinical consultations (20 marks)
Impact on the patient care (20 marks)
Impact on the health system (20 marks)
Discussion and conclusion (10 marks)

Referencing, writing style, format (5 marks)

1. Benson T. Why general practitioners use computers and hospital doctors do not. BMJ 2002;325:1086–9:1086-1093.
2. Grummit A. Real-Time Record Management in General Practice. Inf. J. Bio-Medical Computing 1977;8
3. Bradshaw¬Smith JH. A computer record¬keeping system for general practice. BMJ 1976;i:1395¬7.

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