The medical record: a comprehensive computer system for the family physician.

Journal Article (Journal Article)

BACKGROUND: Despite the early excitement regarding the possible uses of computers in medical care in the 1980s, the computer has not had much effect on routine outpatient medicine except for billing and accounting. METHODS: An emerging comprehensive ambulatory care computer system, The Medical Record (TMR), is used extensively in a large family practice, the Duke Family Medicine Center. TMR is the central system for accounting, appointments, billing, and reporting of laboratory results, radiographic findings, and medications. TMR also records problem lists and generates prompts to the clinicians for needed health maintenance, laboratory tests, and reminder letters. The most innovative function of TMR is the computerized obstetric patient record, which can be accessed from multiple sites. Cost savings compared with a manual system were found to be in excess of $7 per patient visit or approximately $500,000 per year for the Duke Family Medicine Center. RESULTS AND CONCLUSIONS: A comprehensive computer system in a large family practice is cost effective and facilitates better patient care through improved access to patient data.

Full Text

Duke Authors

Cited Authors

  • Yarnall, KS; Michener, JL; Hammond, WE

Published Date

  • July 1994

Published In

Volume / Issue

  • 7 / 4

Start / End Page

  • 324 - 334

PubMed ID

  • 7942101

International Standard Serial Number (ISSN)

  • 0893-8652


  • eng

Conference Location

  • United States