Henderson B S, Taylor M W, Milne R M, Taylor R J, Begg A, McEwan S R, Irving M
Department of General Practice, University of Aberdeen.
Health Bull (Edinb). 1995 Sep;53(5):253-9.
To identify how computerised practices using Gpass software (General Practice Administration System for Scotland), currently implement the new health promotion regulations.
Postal questionnaire to all Gpass practices in Scotland. Data were gathered on types and methods of recording health promotion data, Read code selection, health education given and intended methods of data analysis. Questionnaire results were compared with data from an Electronic Questionnaire analysing actual data recorded on practice computers.
Overall response rate: 64.6%, 94.8% of the responding practices have been approved for health promotion band three. Most practices (94.5%) use their computer for data collection, 63.6% of practices use a manual data capture form and 28.8% use computer data capture methods. Methods of collecting patient data and selection of Read codes for computer data entry are variable. Most practices use one method of data collection; a significant minority use multiple methods or more than one Read code to record the same item. The recording of health promotion on computer has increased greatly since the introduction of the new regulations: the current levels of recording are alcohol history (26.3%), blood pressure reading (57.6%), smoking (35.4%), exercise (7.1%), weight (21.4%) and height (16.4%). Most practices (94.3%) intend using Gpass for data analysis.
Methods of collecting and recording health promotion data differ greatly between practices, with variable standardisation of health promotion codes and differing use of appropriate elements of the Gpass software.
确定使用Gpass软件（苏格兰全科医疗管理系统）的计算机化医疗机构目前如何实施新的健康促进法规。
对苏格兰所有使用Gpass的医疗机构进行邮寄问卷调查。收集了有关健康促进数据的记录类型和方法、Read编码选择、提供的健康教育以及数据分析的预期方法等数据。将问卷调查结果与一份分析医疗机构计算机上实际记录数据的电子问卷数据进行了比较。
总体回复率为64.6%，94.8%的回复医疗机构已获批开展三级健康促进工作。大多数医疗机构（94.5%）使用计算机进行数据收集，63.6%的医疗机构使用手工数据采集表，28.8%使用计算机数据采集方法。收集患者数据的方法以及用于计算机数据录入的Read编码选择各不相同。大多数医疗机构使用一种数据收集方法；少数医疗机构使用多种方法或不止一个Read编码来记录同一项目。自新法规出台以来，计算机上健康促进记录大幅增加：目前的记录水平为饮酒史（26.3%）、血压读数（57.6%）、吸烟（35.4%）、运动（7.1%）、体重（21.4%）和身高（16.4%）。大多数医疗机构（94.3%）打算使用Gpass进行数据分析。
各医疗机构之间收集和记录健康促进数据的方法差异很大，健康促进编码的标准化程度不同，Gpass软件各适用元素的使用情况也不同。
