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ELECTRONICS DOCUMENTS ELECTRONIQUES
Marc Jamoulle & Michel Roland,Juillet 1997.
With the collaboration of Soren Brage (Norway) François Mennerat (France) and Georges Parkerson (USA)

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Leduc Y; Cauchon M; Emond JG; Ouellet J
Utilisation d'un système de classification informatisé en soins primaires: trois ans d'expérience [Utilization of computerized classification system of primary care: three years of experience](in French) Département de médicine familiale, Université Laval. Can Fam Physician, 41():1338-45 1995 Aug

Abstract OBJECTIVE: To develop and implement a computerized version of the International Classification of Primary Care. To create a data bank and to conduct a descriptive study of our clinic's clientele. DESIGN: Testing a software program and creating a data bank. SETTING: Family Medicine Unit at Enfant-Jésus Hospital, Quebec City. PARTICIPANTS: All Family Medicine Unit doctors and patients seen between July 1, 1990, and June 30, 1993. MAIN OUTCOME MEASURE: Description of our clientele's health problems using the ICPC. RESULTS: During the study, 48,415 diagnostic codes for 33,033 visits were entered into the bank. For close to 50% of these visits, two or more health problems were coded. There was good correlation between the description of our clientele and descriptions in other studies in the literature. CONCLUSION: This article describes the development of a data bank in a family medicine unit using a software program based on the ICPC. Our 3-year experiment demonstrated that the method works well in family physicians' daily practice. A descriptive study of our clientele is presented, as well as a few examples of the many applications of such a data bank.

van Suijlekom-Smit LW; Bruijnzeels MA; van der Wouden JC; van der Velden J; Visser HK; Dokter HJ
For which health problems in children is the family physician consulted and how often? Academisch Ziekenhuis/Sophia Kinderziekenhuis, Rotterdam. Ned Tijdschr Geneeskd, 139(33):1684-9 1995 Aug 19, (In Dutch)

Abstract : OBJECTIVE. To determine how often and for what health problems in children general practitioners (GPs) are consulted, and whether this is affected by age, gender, season, socioeconomic status and degree of urbanisation. DESIGN. Descriptive. SETTING. 103 general practices (161 GPs) in the Netherlands. METHOD. Data from 63,753 children (0-14 years of age) collected in the framework of the Dutch National Survey were used. A random sample of 161 GPs registered all contacts between patient and practice during 3 months. Sociodemographic characteristics of all practice populations were gathered. Health problems were coded according to the International Classification of Primary Care (ICPC). Consultation frequency, morbidity presented, age and gender specific incidence rates were determined, as well as relative risks of presented morbidity relative to sociodemographic characteristics and season. RESULTS. Children consulted a GP on average 2.8 times per year. Problems from the respiratory tract (upper respiratory tract infection, acute bronchitis, coughing and acute tonsillitis) and acute otitis media were presented most. The morbidity varied strongly with age. Children from low socioeconomic strata and children living in larger cities presented more problems (in particular respiratory and ear problems). CONCLUSION. The GP is confronted with a great diversity of health problems in children. The variation in consultation frequency and morbidity according to selected sociodemographic characteristics showed that presentation of information in more detail by age is necessary in order to obtain optimal insight.
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.M. Jamoulle
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URL de cette page : http://www.ulb.ac.be/esp/cisp/biblio.html.
Dernière mise à jour: le 9 août 1997
par Marc Jamoulle et Ir. Marc Meurrens

 
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