A methodological proposal to research patients’ demands and pre-test probabilities using paper forms in primary care settings
Objective: The purpose of this study is to present a methodology for assessing patients’ demands and calculating pre-test probabilities using paper forms in Primary Care. Method: Most developing countries do not use Electronic Health Records (EHR) in primary care settings. This makes it difficult to...
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Sociedade Brasileira de Medicina de Família e Comunidade
2013-04-01
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doaj-5e0fc0f6613f4d6abd17fda86693fd182020-11-25T03:08:25ZporSociedade Brasileira de Medicina de Família e ComunidadeRevista Brasileira de Medicina de Família e Comunidade 1809-59092179-79942013-04-0182710.5712/rbmfc8(27)692442A methodological proposal to research patients’ demands and pre-test probabilities using paper forms in primary care settingsGustavo Diniz Ferreira Gusso0Isabela Martins Benseñor1Universidade de São Paulo (USP).Universidade de São Paulo (USP).Objective: The purpose of this study is to present a methodology for assessing patients’ demands and calculating pre-test probabilities using paper forms in Primary Care. Method: Most developing countries do not use Electronic Health Records (EHR) in primary care settings. This makes it difficult to access information regarding what occurs within the health center working process. Basically, there are two methodologies to assess patients’ demands and problems or diagnosis stated by doctors. The first is based on single attendance at each appointment, while the second is based on episodes of care; the latter deals with each problem in a longitudinal manner. The methodology developed in this article followed the approach of confronting the ‘reason for the appointment’ and ‘the problem registered’ by doctors. Paper forms were developed taking this concept as central. All appointments were classified by the International Classification of Primary Care (ICPC). Discussion: Even in paper form, confrontation between ‘reason for the appointment’ and ‘problem registered’ is useful for measuring the pre-test probabilities of each problem-based appointment. This approach can be easily reproduced in any health center and enables a better understanding of population profile. Prevalence of many illnesses and diseases are not known in each reality, and studies conducted in other settings, such as secondary and tertiary care, are not adequate for primary health care. Conclusion: This study offers adequate technology for primary health care workers that have potential to transform each health center into a research-led practice, contributing directly to patient care. https://www.rbmfc.org.br/rbmfc/article/view/692Primary Health CareFamily PracticeClassificationEpisode of Care |
collection |
DOAJ |
language |
Portuguese |
format |
Article |
sources |
DOAJ |
author |
Gustavo Diniz Ferreira Gusso Isabela Martins Benseñor |
spellingShingle |
Gustavo Diniz Ferreira Gusso Isabela Martins Benseñor A methodological proposal to research patients’ demands and pre-test probabilities using paper forms in primary care settings Revista Brasileira de Medicina de Família e Comunidade Primary Health Care Family Practice Classification Episode of Care |
author_facet |
Gustavo Diniz Ferreira Gusso Isabela Martins Benseñor |
author_sort |
Gustavo Diniz Ferreira Gusso |
title |
A methodological proposal to research patients’ demands and pre-test probabilities using paper forms in primary care settings |
title_short |
A methodological proposal to research patients’ demands and pre-test probabilities using paper forms in primary care settings |
title_full |
A methodological proposal to research patients’ demands and pre-test probabilities using paper forms in primary care settings |
title_fullStr |
A methodological proposal to research patients’ demands and pre-test probabilities using paper forms in primary care settings |
title_full_unstemmed |
A methodological proposal to research patients’ demands and pre-test probabilities using paper forms in primary care settings |
title_sort |
methodological proposal to research patients’ demands and pre-test probabilities using paper forms in primary care settings |
publisher |
Sociedade Brasileira de Medicina de Família e Comunidade |
series |
Revista Brasileira de Medicina de Família e Comunidade |
issn |
1809-5909 2179-7994 |
publishDate |
2013-04-01 |
description |
Objective: The purpose of this study is to present a methodology for assessing patients’ demands and calculating pre-test probabilities using paper forms in Primary Care. Method: Most developing countries do not use Electronic Health Records (EHR) in primary care settings. This makes it difficult to access information regarding what occurs within the health center working process. Basically, there are two methodologies to assess patients’ demands and problems or diagnosis stated by doctors. The first is based on single attendance at each appointment, while the second is based on episodes of care; the latter deals with each problem in a longitudinal manner. The methodology developed in this article followed the approach of confronting the ‘reason for the appointment’ and ‘the problem registered’ by doctors. Paper forms were developed taking this concept as central. All appointments were classified by the International Classification of Primary Care (ICPC). Discussion: Even in paper form, confrontation between ‘reason for the appointment’ and ‘problem registered’ is useful for measuring the pre-test probabilities of each problem-based appointment. This approach can be easily reproduced in any health center and enables a better understanding of population profile. Prevalence of many illnesses and diseases are not known in each reality, and studies conducted in other settings, such as secondary and tertiary care, are not adequate for primary health care. Conclusion: This study offers adequate technology for primary health care workers that have potential to transform each health center into a research-led practice, contributing directly to patient care.
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topic |
Primary Health Care Family Practice Classification Episode of Care |
url |
https://www.rbmfc.org.br/rbmfc/article/view/692 |
work_keys_str_mv |
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