Electronic medical records may be inadequate for improving population health status through general practice

Cervical smears as a case study

Caroline O M Laurence, Teresa Burgess, Justin Beilby, Brian Symon, David Wilkinson

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Objective: To determine whether routine electronic records are an accurate source of population health data in general practice through reviewing cervical smears rates in four South Australian practices. Methods: The cervical screening rate in a purposive sample of four general practices (three rural and one urban) was obtained using an audit of medical records and a telephone follow-up. Results: The cervical screening rate using only immediately available electronic medical records indicated an overall low rate for the participating practices (44.9%). However, telephone follow-up and adjustments to the denominator indicated the real rate to be 85.7%. The offer of appointments during the telephone follow-up further improved this rate for eligible women (93.8%). Conclusions and implications: Electronic medical records may be inadequate in preventive screening in general practice, without ensuring their accuracy. Updating records by telephone or personal follow-up produces a much more accurate denominator.

Original languageEnglish
Pages (from-to)317-320
Number of pages4
JournalAustralian and New Zealand Journal of Public Health
Volume28
Issue number4
Publication statusPublished - Aug 2004
Externally publishedYes

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