July/August 2005 Annals of Family Medicine tip sheet

l cost and increasing technical sophistication of EMRs, EMR use failed to achieve desirable levels of clinical improvement. The authors assert that if EMRs are to fulfill their promise as care improvement tools, less disruptive implementation strategies and more sophisticated clinical decision support may be needed. Additionally, they suggest that using an EMR may help activate patients to be more involved in their own care. They conclude that in the absence of more advanced EMR capabilities, less expensive and less disruptive care-improvement strategies may improve chronic disease as effectively as EMRs.
Impact of an Electronic Medical Record on Diabetes Quality of Care
By Patrick J. O'Connor, M.D., M.P.H., et al

A cross-national survey of 1,523 family physicians and general practitioners in England and Wales, the United States, and the Netherlands, found family physicians place a high value on maintaining the patient-physician relationship through personal continuity. This was apparent even in strikingly different health care systems with different patient expectations and cultural influences. Doctors in all three countries felt strongly that personal continuity of care remained an important aspect of good quality care to their patients. Interestingly, personal continuity of care was valued most by family physicians from the United States, even though (or perhaps because) the current U.S. health care system makes it difficult to maintain personal continuity.
Continuity of Care: Is the Personal Doctor Still Important? A Survey of General Practitioners and Family Physicians in England and Wales, United States, and the Netherlands
By Tim Stokes, Ph.D., M.P.H., M.B.Ch.B., et al

Patients who are t

Contact: Kristin Robinson
American Academy of Family Physicians

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