• Maigaelle V Moulene, Simon de Lusignan, George Freeman, Jeremy van Vlymen, Ian Sheeler, Andrew Singleton, and Pushpa Kumarapeli.
• Primary Care Informatics, Division of Community Health Sciences, St. George'-University of London, United Kingdom.
• Stud Health Technol Inform. 2007 Jan 1; 129 (Pt 2): 1132-6.

BackgroundIn the UK routinely collected computerized clinical data is used to assess progress towards financially incentivised quality targets for chronic disease management including hypertension.ObjectiveTo develop a method for assessing the impact of recording quality target data in the clinical consultation.MethodsRaters were trained how to rate a multi-channel video of a simulated clinical consultation for interaction between actors, computer use, non-verbal communication.Results25% of consultation time is computer use and a median of 4 to 5 items were coded per consultation mainly items related to the hypertension quality target. Intraclass correlation coefficient showed good inter-rater reliability (>0.9; p<0.001).ConclusionWe have successfully piloted a novel technique for observing the influence of the computer on the consultation. Despite increasing computer use to record quality target data the overwhelming proportion of the consultation remains doctor patient interaction.

15 keywords...

hide…