Changes in demand for initial medical care in general practice and hospital accident and emergency departments.
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Biomedical subjects
Publications and source records attributed to K A Harden.
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The use of an address master system in a general practice can save the doctors and secretarial staff a significant amount of time. A spirit master system (e.g. ;Scriptomaster' sets) best suits the requirements of general practice. Uses include labelling documents, request forms, prescriptions, envelopes and compiling lists of patients.
A two-tier system of handling information has been developed for use in general practice. Punched feature cards, with the conventional patients' record cards are used for the handling of primary data in the doctor's surgery. At the same time the feature cards provide an input to the computer using a feature card reader, converter, and paper-tape punch. This is especially useful where information has to be collected together centrally, for more advanced statistical analysis and where multiple searches of individual feature cards are required.
In this paper we describe the use of punched feature cards in a general practice for 18 months. Its advantages are the low cost, speed of information retrieval, visible statistics, computer compatibility, accuracy, confidentiality, flexibility, and simplicity of setting up and collection of information. The system encourages the doctor to ask questions about his practice, and could readily be adopted in other practices.
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