Dovey S M, Tilyard M W
Department of General Practice, Otago Medical School, Dunedin, New Zealand.
Br J Gen Pract. 1996 Dec;46(413):749-52.
Computers are now in widespread use by general practitioners (GPs) in many countries. In New Zealand this development has advanced general practice research by enabling collaboration among a small population of doctors practising in geographically diverse locations. This paper reviews the establishment of the Computer Research Network of the Royal New Zealand College of General Practitioners (RNZCGP) and its development between 1990 and 1995. The Network consists of 181 general practices (approximately 450 GPs) from throughout urban and rural New Zealand. All participants use computers in their practices to record consultation notes and to generate prescriptions, investigations and referral forms. Computer programs developed in the RNZCGP Research Unit are run on commercial software in doctors' surgeries to provide anonymous, individual data. In addition to the routine analysis of utilization for feedback to participants, 13 research projects have been completed. These include investigations of access to general practice care, use of health services by individuals and families, surveillance of immunization uptake, epidemiology of common conditions, and the use of pharmaceuticals in general practice. The RNZCGP Computer Research Network is an example of a computerized general practice research network that has been productive without receiving significant financial resources or having a formal management structure.
目前，计算机在许多国家的全科医生中已得到广泛应用。在新西兰，这一发展通过促成在地理位置分散的少数医生之间开展合作，推动了全科医疗研究。本文回顾了新西兰皇家全科医生学院（RNZCGP）计算机研究网络的建立及其在1990年至1995年间的发展情况。该网络由来自新西兰城乡各地的181家全科诊所（约450名全科医生）组成。所有参与者在其诊所使用计算机记录会诊记录，并生成处方、检查单和转诊表。RNZCGP研究部门开发的计算机程序在医生诊疗室的商业软件上运行，以提供匿名的个人数据。除了对利用情况进行常规分析以便向参与者提供反馈外，还完成了13个研究项目。这些项目包括对获得全科医疗服务的情况、个人和家庭对卫生服务的使用、免疫接种情况监测、常见疾病流行病学以及全科医疗中药物使用情况的调查。RNZCGP计算机研究网络是一个计算机化全科医疗研究网络的范例，它在没有获得大量财政资源或拥有正式管理结构的情况下取得了丰硕成果。
