PMID: 11334574May 4, 2001Paper

Qualitative approach to the attitudes and expectations of doctors during the process of computerising primary care

Atencion primaria
C CalderónJ Merino

Abstract

To find the attitudes and expectations of doctors during the process of computerising primary care (PC). Qualitative investigation through discussion groups. Thirty-one doctors from the two PC regions of Gipuzkoa. Intentional stratified sampling by regions and by experience in using a computer in the consulting-room. Five discussion groups with recording and transcription of the contents with prior authorisation and guarantee of confidentiality. Qualitative analysis of the notes and transcriptions with the help of computer back-up. Validation through sending of results to participants and discussion between the authors. Introducing computers into PC consulting-rooms had repercussions both on the ordering and contents of the information recorded. The effort <to know what is being done> was not accompanied by subsequent evaluation. Notable deficiencies in management of the computerising process were perceived. Computer use created additional symbolic effects for both patients and doctors. Computerising PC is a process whose repercussions on medical care are far from neutral and so require rigorous discussion and evaluation. Defining step-by-step and measurable objectives, transparency in management and the promotion of evaluative...Continue Reading

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