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Development of an assessment tool to measure the influence of clinical software on the delivery of high quality consultations. A study comparing two computerized medical record systems in a nurse run heart clinic in a general practice setting

de Lusignan, Simon, Wells, SE, Russell, Christopher, Bevington, WP and Arrowsmith, P (2002) Development of an assessment tool to measure the influence of clinical software on the delivery of high quality consultations. A study comparing two computerized medical record systems in a nurse run heart clinic in a general practice setting Informatics for Health and Social Care, 27 (4). pp. 267-280.

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Abstract

A rating scale was developed to assess the contribution made by computer software towards the delivery of a quality consultation, with the purpose of informing the development of the next generation of systems. Two software programmes were compared, using this scale to test their ability to enable or inhibit the delivery of an ideal consultation with a patient with heart disease. The context was a general practice based, nurse run clinic for the secondary prevention of heart disease. One of the programmes was customized for this purpose; the other was a standard general practice programme. Consultations were video-recorded, and then assessed by an expert panel using the new assessment tool. Both software programmes were oriented towards the implementation of the evidence, rather than facilitating patient-centred practice. The rating scale showed, not surprisingly, significantly greater support from the customized software in the consultation in five out of eight areas. However, the scale's reliability measured by Cronbach's Alpha, was sub-optimal. With further refinement, this rating scale may become a useful tool that will inform software developers of the effectiveness of their programmes in the consultation, and suggest where they need development. © 2002 Informa UK Ltd All rights reserved.

Item Type: Article
Authors :
NameEmailORCID
de Lusignan, SimonS.Lusignan@surrey.ac.ukUNSPECIFIED
Wells, SEUNSPECIFIEDUNSPECIFIED
Russell, Christophercr0040@surrey.ac.ukUNSPECIFIED
Bevington, WPUNSPECIFIEDUNSPECIFIED
Arrowsmith, PUNSPECIFIEDUNSPECIFIED
Date : 2002
Identification Number : https://doi.org/10.1080/1463923031000081603
Depositing User : Symplectic Elements
Date Deposited : 21 Jun 2017 14:44
Last Modified : 03 Jul 2017 08:14
URI: http://epubs.surrey.ac.uk/id/eprint/663648

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