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September 1993, Vol 147, No. 9 >
Article | September 1993

Do Primary Care Physicians Prefer Dictated or Computer-Generated Discharge Summaries? FREE

Jane E. Brazy, MD; Diane L. Langkamp, MD; Nathaniel D. Brazy; Raul F. De Luna
[+] Author Affiliations

Accepted for publication December 30, 1992.

Reprint requests to Meriter Hospital-Park, 6C, 202 S Park St, Madison, WI 53715 (Dr Brazy).


Am J Dis Child. 1993;147(9):986-988. doi:10.1001/archpedi.1993.02160330076024.
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• Objective.  —To determine the preference of primary care physicians for computer-generated vs dictated discharge summaries from a neonatal intensive care unit.

Design.  —Survey mailed to primary care physicians.

Setting.  —Regional referral area of a level III neonatal intensive care unit.

Participants.  —Pediatricians and family medicine physicians caring for infants discharged from the neonatal intensive care unit.

Results.  —Of 58 questionnaires sent, 45 (78%) were returned. Overall, 33 physicians (73%) either strongly or mildly preferred the computer-generated discharge summary; eight (18%) had no preference; and four (9%) preferred the dictated discharge summary (P<.001). The category of strongest preference was relevance of information for continued patient care. Preference for type of discharge summary was not significantly influenced by time in practice, type of practice, preference to read or scan summaries, or frequency of computer use.

Conclusion.  —Primary care physicians prefer computed-generated discharge summaries to dictated discharge summaries.(AJDC. 1993;147:986-988)

REFERENCES

1 +
Brazy JE, Eckerman CO, Oehler JM, Goldstein RF.  Nursery neurobiologic risk score: important factors in predicting outcome in very-low-birth-weight infants . J Pediatr . 1991;;118:783-792.
2 +
Janik DS, Swarner OW, Henriksen KM, Wyman ML.  A computerized single-entry system for recording and reporting data on high-risk newborn infants . J Pediatr . 1978;;93:519-523.
3 +
Finer NN, Fraser AJ.  Neonatal data base and automated discharge summary using a personal computer and proprietary software . Pediatrics . 1985;; 76:269-273.
4 +
Christo GG, Shenoy S, Amin S, Marianus BVP, Baliga M, Venkatesh A.  A computerized neonatal data base and automated discharge summaries . Indian Pediatr . 1987;;24:1105-1109.
5 +
Sultan S, Caangay D, Liu W, Rodgers K.  Use of personal computer to create a data base and generate discharge summary in private practice of neonatology . J Perinat Med . 1987;;15( (suppl 1) ):63.
6 +
Lissauer T, Paterson CM, Simons A, Beard RW.  Evaluation of computer-generated neonatal discharge summaries . Arch Dis Child . 1991;;66:433-436.
7 +
Spencer SA.  Computerized neonatal information systems . Arch Dis Child . 1991;;66:823-826.

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Interactive Graphics

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Brazy JE, Eckerman CO, Oehler JM, Goldstein RF.  Nursery neurobiologic risk score: important factors in predicting outcome in very-low-birth-weight infants . J Pediatr . 1991;;118:783-792.
2 +
Janik DS, Swarner OW, Henriksen KM, Wyman ML.  A computerized single-entry system for recording and reporting data on high-risk newborn infants . J Pediatr . 1978;;93:519-523.
3 +
Finer NN, Fraser AJ.  Neonatal data base and automated discharge summary using a personal computer and proprietary software . Pediatrics . 1985;; 76:269-273.
4 +
Christo GG, Shenoy S, Amin S, Marianus BVP, Baliga M, Venkatesh A.  A computerized neonatal data base and automated discharge summaries . Indian Pediatr . 1987;;24:1105-1109.
5 +
Sultan S, Caangay D, Liu W, Rodgers K.  Use of personal computer to create a data base and generate discharge summary in private practice of neonatology . J Perinat Med . 1987;;15( (suppl 1) ):63.
6 +
Lissauer T, Paterson CM, Simons A, Beard RW.  Evaluation of computer-generated neonatal discharge summaries . Arch Dis Child . 1991;;66:433-436.
7 +
Spencer SA.  Computerized neonatal information systems . Arch Dis Child . 1991;;66:823-826.

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