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KMID : 0384319940150020172
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Korean Journal of Family Medicine
1994 Volume.15 No. 2 p.172 ~ p.178
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Computer Use in Family Practice Clinic in Seoul
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Lee Hang
Yang Kyu-Hee
Kim Cheol-Hwan
Joo Yun-Hun
Yoo Tai-Woo
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Abstract
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Background: Computer use in medicine is also increasing now in primary health care. Until now, there has been no report on the clinical use of computer in family practice in Korea.
Methods: Among 525 members of Korean Academy of Family Physicians who are in primary practice in Seoul, 297 physicians’ office telephone numbers are on phone-directory. In August 1993, four-page questionnaires were sent to 297 physicians. To get higher response rate, the same questionnaires were sent to non-responders 15 days later. Overall response rate was 52%. To compensate low response rate, random sampling of non-responders did phone interview of 38 physicians.
Results: 79% of responders currently use computer in clinic, while 32% use computer personally. There were no differences between responders and non-responders in sex, rate of computer use, but mean age of responders is lower than that of non-responders (50.8± 13.5 vs. 57.1± 10.9). Among clinical usages of computer, billing is by far common (100 %). Medical record retrieval systems are used by 26.4%, Drug management by 14.6% of physicians with computers in their offices. Only one physician used complete electronic medical record.
Conclusions: Majority of family physicians in primary health care use computer in clinic. But the use is confined to a few areas. Among the variables, age and personal computer use seem to be related to the number of areas used. Major obstacles to the medical computing are `not acquainted with computer use´, lack of standardization of programs´. So there are urgent needs for education of computing and standardization of programs. (J Korean Acad Fam Med 1994: 15: 172 ~178)
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KEYWORD
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family medicine, family practice, computer, computerized medical record
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