Clinical software packages can be improved to help general practitioners increase the provision of preventive care
Oliver R. Frank A B *A Discipline of General Practice, Adelaide Medical School, The University of Adelaide, SA 5005, Australia.
B Oakden Medical Centre, 132–134 Fosters Road, Hillcrest, SA 5086, Australia.
Australian Journal of Primary Health 28(3) 204-206 https://doi.org/10.1071/PY21204
Submitted: 22 August 2021 Accepted: 19 January 2022 Published: 28 April 2022
© 2022 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of La Trobe University.
Abstract
Despite the importance of prevention in general practice, electronic clinical record systems used in Australian general practice do not present a comprehensive overview of each patient’s preventive care status to general practitioners or patients. Data relevant to prevention is scattered between different parts of the patient’s record. On-screen reminders to general practitioners are simplistic and easily overlooked, and no reminders are sent automatically to patients. There is no structured means to note a patient’s refusal or ineligibility for a particular preventive activity. Electronic clinical record systems should be enhanced to allow patients to be invited automatically, at appropriate times, to review and respond to comprehensive information and advice about preventive care that is recommended for them. Users of electronic clinical record systems will need to lobby their software vendors to have the proposed enhancements made.
Keywords: comprehensive, computer, electronic clinical records, family practice, general practice, patient empowerment, prevention, preventive, reminders, summary, systems.
References
Frank O, Stocks N, Aylward P (2011) Patient acceptance and perceived utility of pre-consultation prevention summaries and reminders in general practice: pilot study. BMC Family Practice 12, 40| Patient acceptance and perceived utility of pre-consultation prevention summaries and reminders in general practice: pilot study.Crossref | GoogleScholarGoogle Scholar | 21612667PubMed |
Frank O, Aylward P, Stocks N (2014) Development of pre-consultation prevention summary and reminder sheets for patients: preliminary study of acceptability and sustainability. Australian Family Physician 43, 310–314.
Knieriemen A (2021) Doctors Control Panel. Available at http://www.doctorscontrolpanel.com.au/index.html [Accessed 20 August 2021]
Mazza D, Shand LK, Warren N, Keleher H, Browning CJ, Bruce EJ (2011) General practice and preventive health care: a view through the eyes of community members. Medical Journal of Australia 195, 180–183.
| General practice and preventive health care: a view through the eyes of community members.Crossref | GoogleScholarGoogle Scholar |
PenCS (2022) PenCS Topbar. Available at https://www.pencs.com.au/products/topbar/ [Accessed 22 August 2021]
Royal Australian College of General Practitioners (RACGP) (2021a) The five domains of general practice. Available at https://www.racgp.org.au/education/education-providers/curriculum/understanding-the-curriculum/the-five-domains-of-general-practice [Accessed 14 November 2021]
Royal Australian College of General Practitioners (RACGP) (2021b) Guiding principles for clinical follow up systems in general practice software. Available at https://www.racgp.org.au/running-a-practice/practice-resources/general-practice-guides/guiding-principles [Accessed 14 November 2021]
Royal Australian College of General Practitioners (RACGP) (2021c) Guidelines for preventive activities in general practice. Available at https://www.racgp.org.au/clinical-resources/clinical-guidelines/guidelines-by-topic/preventive-health/guidelines-for-preventive-activities-in-general-pr [Accessed 12 August 2021]
