Responses to non-emergency questions in rural medicine: their usefulness to practice decisions.

Abstract:

:This study reports the nature of non-emergency, day-to-day practice-related questions which arose in rural practice and were phoned in to a medical information system (MIS). The usefulness of these questions, and their responses, to clinical decision-making is outlined. Sixty-seven practitioners from 10 rural communities enrolled in the project. In response to each inquiry two or three articles were sent to the practitioner and to a consultant for validation. At the conclusion of the study the questions posed, and their responses, were examined. Forty-six per cent of the questions received were categorized as diagnostic; 30% as management; and 24% as therapeutic. Questions were classified using the ICD.9.CM. Those most frequently posed were in the nervous system/sense organs (13%), injury/poisoning (9%), and genito-urinary (9%) categories. Interviews with doctors and consultants were conducted to assess the usefulness of the service. Study findings suggest that an MIS can provide helpful information for improving daily aspects of clinical care, doctor-patient communication, administrative decision-making, and physician education. Practitioners, consultants, and medical librarians reported benefits from this service.

journal_name

Med Educ

journal_title

Medical education

authors

Jennett PA,Kishinevsky M,Parboosingh IT,Lockyer JM,Maes WR

doi

10.1111/j.1365-2923.1991.tb00057.x

subject

Has Abstract

pub_date

1991-05-01 00:00:00

pages

238-42

issue

3

eissn

0308-0110

issn

1365-2923

journal_volume

25

pub_type

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