I have been very interested to see other members of GP-UK's comments on
computerisation. I dabble in computing and use a Psion and the Internet
regularly.
However, I am surprised at how little I know compared to contributors to
this list. I
agree with other colleagues who are say they disappointed with
computerisation in
general practice, in spite of the large amount of money spent. My own
observations
and those of colleagues I have spoken to indicate the following causes of
this
disappointment : -
- Computerisation in general practice has happened in a haphazard way,
driven more by the worry of being left behind than scientific analysis.
- The GP systems are difficult to use except for the most basic procedures
such as repeat prescribing, recording consultations (without text),
appointments and administrative links with the Health Authority.
- Talking to patients takes concentration and operating a computer at the
same time is almost impossible, unless, the computer is simple to use.
Writing is easier and not as disruptive to the consultation.
- There is no agreement between individual GP's, and even less between
practices, about how computers should be used. Computerisation is only as
good as the data which is entered and many GP's are sceptical of the
benefit of computers and therefore poor at putting in the appropriate
information.
- We all have difficulty in finding time to deal with patients so finding
time to think
about IT is almost impossible.
Computers will transform medicine. Diagnosis and treatment will
increasingly be
carried out in the surgery and possibly even at the patients home. However,
before
this can occur computers need to be more sophisticated and easier to use.
The other necessary change is for the Department of Health to establish
uniformity throughout the Health Service.
Dr John Salmon
Southmead Surgery
Blackpond Lane
Farnham Common
Bucks SL2 3ER
Tel 01753 642156
Fax 01753 642157
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