Information systems and the electronic health record in primary health care

Abstract

The implementation of information systems into primary health care opened the possibilities of providing integrated and co-ordinated health care, improved in quality and focused on the healthcare user. The healthcare system, researchers, physicians, and patients have recognised the benefits offered by informatics, but also raised questions that have yet to be answered.

Knowledge About Prescribing Antibiotics for Patients With Acute Pharyngitis and Its Associate Factors Among Primary Health Care Physicians at Ministry of Health Makkah Al-Mukarramah City, 2016.

“…Katić et al (2007) emphasized the impact of using electronic health care records by stating that the implementation of information systems into PHC provides integrated and coordinated health care, improves quality and focuses on the healthcare user. (16) Results of this study revealed that only 65% of participants read about prescribing antibiotics for acute pharyngitis and their main sources of reading were UPTODATE while few other minor sources included AAFP, the internet, and BMJ. Moreover, only 5.7% of participants attended a CME about antibiotics for acute pharyngitis, mostly through attending a FAME course or attending a conference.…”

“…Regarding knowledge questions (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18), a score of 1 was given to right answer which is the first choice for all questions except number 36 the right answer is the second choice. The total score was computed by summation of scores and it was 18, the range was (0-18).…”

A proposal for enhancement of research capacities in Croatian general practice

“…Even GPs, who are trained for research and who have an intrinsic drive for it, alongside the lack of time mentioned, are also faced with an additional obstacle when trying to answer questions arising from their practice: the inability to search their own database with ease! Namely, the electronic health records (e-records), compulsory in the fully computerized family medicine system in Croatia, are not standardized, and have very poor usability for research purposes (27). Therefore, their standardization at state level is a priority and a fundamental prerequisite for the future development and enhancement of the capacities of family medicine research, especially because the systematic investigation of their own daily work through the information accessible in the e-records, is usually the first crucial step in planning a GP's future research.…”

Relearning the lessons about the implementation of information systems in primary care: a report from the European Federation for Medical Informatics (EFMI) Special Topic Conference 2007 in Croatia

“…6 Finally, a fourth paper from Croatia provides a comprehensive literature review of the evidence base for using computerised records in practice and the difficulties with implementation. 7 This paper places the others in a theoretical framework within the informatics literature and ends with a plea for care in appropriately restricting the secondary use of routinely-collected computerised clinical data.…”