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J F Metsemakers

Publications and source records attributed to J F Metsemakers.

22 records · Page 2Linked to original sources
PubMed1992

Computerization of general practices and quality control. Blood glucose regulation in type 2 diabetics investigated in the Registration Network family practices.

The extent to which computerized medical administration facilitates quality control was studied using as an example the quality of blood glucose regulation in diabetics supervised by general practitioners in 11 computerized practices. Systematic use of the general practice computer rapidly provided an unequivocal answer that 37% of such patients were not regulated in accordance with the guidelines for type 2 diabetes mellitus of the Dutch College of General Practitioners. The extra workload for the participating general practitioners was minimal. Automated recording of problem lists, as applied in the general practices belonging to the Registration Network, facilitates access to data on chronic diseases and risk factors for purposes of research, quality control and quality assessment.

Blood Glucose↗
PubMed1992

Computerized health information in The Netherlands: a registration network of family practices.

A registration network of family practices (Registratienet Huisartspraktijken) has recently been established in the Netherlands. Forty two general practitioners in 15 practices, with a patient population of 80,000 people, are using a general practice health information system to establish a central computerized anonymous database containing certain patient characteristics and all relevant health problems. By September 1990 patient characteristics and problem lists for 32,972 patients had been entered and a total of 94,476 health problems had been identified. The database has been set up primarily as a sampling frame, allowing researchers to identify patients with particular health problems. The database can also provide descriptive data on prevalence and incidence rates, fulfil a monitoring function and provide data for practice audit, medical education and health management.

Adolescent↗
PubMed1991

Do we teach what we preach? Comparing the content of a problem-based medical curriculum with primary health care data.

The content of a problem-based medical curriculum has been analysed with reference to educational and medical characteristics. The data have been compared with primary health care data obtained from the Registration Network Family Practices, a computerized health information system in the southern part of the Netherlands. The analysis reveals differences between curriculum and health care data on several aspects such as reasons for encounter/complaints, problems/diagnoses, chronic diseases, health problems of children and referrals to specialists. Although the analysed material reflects only part of the curriculum, it can be concluded that the primary care orientation of the curriculum is meagre and that a critical review of the patient cases used in the problem-based curriculum is needed.

Curriculum↗