A1 Refereed original research article in a scientific journal
The medico-professional quality of GP consultations assessed by analysing patient records
Authors: Maisa Kuusela, Anna-Liisa Koivisto, Paula Vainiomäki, Tero Vahlberg, Päivi Rautava
Publisher: INFORMA HEALTHCARE
Publication year: 2011
Journal: Scandinavian Journal of Primary Health Care
Journal name in source: SCANDINAVIAN JOURNAL OF PRIMARY HEALTH CARE
Journal acronym: SCAND J PRIM HEALTH
Number in series: 4
Volume: 29
Issue: 4
First page : 222
Last page: 226
Number of pages: 5
ISSN: 0281-3432
DOI: https://doi.org/10.3109/02813432.2011.628241(external)
Abstract
Objective. To assess the medico-professional quality of consultations by analysing textual data from patient records. Design. Qualitative analyse of textual data. Setting. Four primary health care centres using electronic patient records (EPR) in Finland. Subjects. EPR and paired questionnaires of 175 consultations filled in by GPs and their patients independently. Main outcome measures. Medico-professional quality of consultations, quality of care of acute respiratory infections, and hypertension. Results. The medico-professional quality of the consultations was quite good. However, 9% of the records could not been assessed at all because of missing or poor documentation and 9% were assessed as poor. The treatment of acute respiratory infections and hypertension is not in line with current care guidelines. Smoking habits or other health behaviour or lifestyle factors were seldom recorded. Conclusions. The medico-professional quality of the consultation was quite good. Quality improvement is needed in the treatment of acute respiratory infections and hypertension. User-friendly EPR systems would improve the content of patient records.
Objective. To assess the medico-professional quality of consultations by analysing textual data from patient records. Design. Qualitative analyse of textual data. Setting. Four primary health care centres using electronic patient records (EPR) in Finland. Subjects. EPR and paired questionnaires of 175 consultations filled in by GPs and their patients independently. Main outcome measures. Medico-professional quality of consultations, quality of care of acute respiratory infections, and hypertension. Results. The medico-professional quality of the consultations was quite good. However, 9% of the records could not been assessed at all because of missing or poor documentation and 9% were assessed as poor. The treatment of acute respiratory infections and hypertension is not in line with current care guidelines. Smoking habits or other health behaviour or lifestyle factors were seldom recorded. Conclusions. The medico-professional quality of the consultation was quite good. Quality improvement is needed in the treatment of acute respiratory infections and hypertension. User-friendly EPR systems would improve the content of patient records.
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