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- W55560487 abstract "Based on extensive analysis of functions and structures in general practices and the resulting definitions of needs and possibilities for a computer support; six installations of dedicated computer systems in offices of private physicians were evaluated. The installations involved practices for gynecology, ENT, ophthalmology, and general medicine. The study comprised detailed analyses of the functional characteristics of each office before, during and after the computer installation, especially in regard to work load and work distribution, cost, time performance and motivation. The results of computer support vary in regard to the different types of practices and the pre-test organizational structure of the offices. An increased systematization of recording and claim processing could be achieved. Time gam could only be seen in the registration of new patients or >repeaters< with extensive updates. Retrieval of administrative data was slightly longer in normal >repeaters< than in the manual process. The frequency of diagnoses, recorded procedures and the measurements of various time parameters are reported. The actual set of codes used is manageable in regard to volume and differentiation in the individual office. Evaluation by the physicians themselves reveals different emphasis on priorities of the administrative area, of medical documentation, tune gain or quality. The results of cost analysis vary depending upon the type of practice. In some offices time gain and shift in work load led to an economic gain. The calculations were based on a monthly rental of DM 2,000. However, system architecture and hardware of the experimental system were not yet optimal. Cost/effectiveness and motivational satisfaction relate to the classification of the practices under scrutiny by methods developed in earlier studies. General aspects of the experiment and resulting design criteria for a possible product for the doctor’s office are discussed." @default.
- W55560487 created "2016-06-24" @default.
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- W55560487 date "1979-04-01" @default.
- W55560487 modified "2023-09-25" @default.
- W55560487 title "Evaluation of a Field Test of Computers for the Doctor’s Office*" @default.
- W55560487 doi "https://doi.org/10.1055/s-0038-1636457" @default.
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