{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T06:25:43Z","timestamp":1770963943589,"version":"3.50.1"},"reference-count":12,"publisher":"BMJ","issue":"6738","license":[{"start":{"date-parts":[[1990,6,9]],"date-time":"1990-06-09T00:00:00Z","timestamp":644889600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ"],"published-print":{"date-parts":[[1990,6,9]]},"abstract":"<jats:p>OBJECTIVE--To develop and report the results of a system of audit of computer records in general practice. DESIGN--A retrospective audit of records in practices using the same computer system. Information about recorded preventive procedures was collected by sending the same audit program to each practice on floppy disk. Other characteristics of the practices were determined by postal questionnaire. SETTING--Forty five general practices, widely distributed in England and Wales. SUBJECTS--All 430,901 patients registered with the practices. MAIN OUTCOME MEASURES--Within each practice the percentage of patients in specified age groups for whom certain preventive procedures were recorded as having been carried out. These measures were analysed in relation to practice characteristics. RESULTS--Practice characteristics and recording rates for preventive procedures varied over a wide range. Recording rates were higher in practices with computer terminals on every doctor's desk. Only one practice achieved the new contract target of 90% coverage for recorded primary immunisations, and fewer than two thirds recorded 80% coverage for cervical cytology in the past five years. Practices holding clinics did no better than those without. Smaller partnerships and smaller doctors' list sizes were associated with better performance. CONCLUSIONS--Centrally programmed audit of computerised records is a feasible method of providing data on a regular basis for epidemiological purposes and for performance review. The fact that practices with smaller list sizes had higher levels of recorded preventive care suggests that the trend towards larger lists promoted by the new contract might militate against the intended effect of better preventive care.<\/jats:p>","DOI":"10.1136\/bmj.300.6738.1501","type":"journal-article","created":{"date-parts":[[2009,4,2]],"date-time":"2009-04-02T15:19:55Z","timestamp":1238685595000},"page":"1501-1503","source":"Crossref","is-referenced-by-count":8,"title":["A total audit of preventive procedures in 45 practices caring for 430,000 patients."],"prefix":"10.1136","volume":"300","author":[{"given":"M","family":"Lawrence","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Coulter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Jones","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1990,6,9]]},"reference":[{"key":"ref_1","first-page":"615","article-title":"An evaluation of recorded information about preventive measures in 38 practices.] R Coll Gen Pract","volume":"31","author":"Fleming, D.M.; Lawrence, M.S.","year":"1981","unstructured":"Fleming DM, Lawrence MS. An evaluation of recorded information about preventive measures in 38 practices.] R Coll Gen Pract 1981;31:615-20."},{"key":"ref_2","first-page":"1852","article-title":"Impact of audit on preventive measures","volume":"287","author":"Fleming, D.M.; Lawrence, M.S.","year":"1983","unstructured":"Fleming DM, Lawrence MS. Impact of audit on preventive measures. BrMedJ7 1983;287:1852-4."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1136\/bmj.291.6499.869","article-title":"List size, screening methods, and other characteristics of practices in relation to preventive care","volume":"291","author":"Fleming, D.M.; Lawrence, M.S.; Cross, K.W.","year":"1985","unstructured":"Fleming DM, Lawrence MS, Cross KW. List size, screening methods, and other characteristics of practices in relation to preventive care. Br Med J 1985;291:869-72.","journal-title":"Br Med J"},{"key":"ref_4","article-title":"Health Departments of Great Britain. General practice in the National Health Service. The 1990 contract","year":"1989","unstructured":"Health Departments of Great Britain. General practice in the National Health Service. The 1990 contract. London: HMSO, 1989."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1136\/bmj.300.6718.170","article-title":"General practice computing in Scotland","volume":"300","author":"Taylor, M.W.; Ritchie, L.D.; Taylor, R.J.","year":"1990","unstructured":"Taylor MW, Ritchie LD, Taylor RJ, et al. General practice computing in Scotland. Br MedJ 1990;300: 170-2.","journal-title":"Br MedJ"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1136\/jech.43.1.25","article-title":"Computer held chronic disease registers in general practice: a validation study.]","volume":"43","author":"Coulter, A.; Brown, S.; Daniels, A.","year":"1989","unstructured":"Coulter A, Brown S, Daniels A. Computer held chronic disease registers in general practice: a validation study.] Epidetniol Community Health 1989;43: 25-8.","journal-title":"Epidetniol Community Health"},{"key":"ref_7","article-title":"Health for all in the Oxford region","author":"Jamieson, M.; Griffiths, J.","year":"1987","unstructured":"Jamieson M, Griffiths J. Health for all in the Oxford region. Oxford: Oxford RHA, 1987."},{"key":"ref_8","first-page":"107","article-title":"Blood pressure recording by general practitioners in north east Scotland","volume":"286","author":"Ritchie, L.D.; Currie, A.M.","year":"1983","unstructured":"Ritchie LD, Currie AM. Blood pressure recording by general practitioners in north east Scotland. BrMedJ 1983;286:107-9.","journal-title":"BrMedJ"},{"key":"ref_9","first-page":"394","article-title":"Counselling cigarette smokers in general practice","volume":"14","author":"Freeling, P.; Littlejohns, P.","year":"1989","unstructured":"Freeling P, Littlejohns P. Counselling cigarette smokers in general practice. Maternal and Child Health 1989;14:394-7.","journal-title":"Maternal and Child Health"},{"key":"ref_10","article-title":"How many patients?","author":"Butler, JR","year":"1989","unstructured":"Butler JR. How many patients? London: Bedford Square Press, 1989."},{"key":"ref_11","first-page":"161","article-title":"How can good general practitioner care be achieved?","volume":"294","author":"Morell, D.C.; Roland, M.O.","year":"1987","unstructured":"Morell DC, Roland MO. How can good general practitioner care be achieved? BrMedJ 1987;294:161-2.","journal-title":"BrMedJ"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1501","DOI":"10.1136\/bmj.289.6457.1501","article-title":"List size and patient contact in general medical practice","volume":"289","author":"Wilkin, D.; Metcalfe, D.A.H.","year":"1984","unstructured":"Wilkin D, Metcalfe DAH. List size and patient contact in general medical practice. Br Medj 1984;289:1501-5.","journal-title":"Br Medj"}],"container-title":["BMJ"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bmj.300.6738.1501","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmj.300.6738.1501","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T22:30:08Z","timestamp":1765492208000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.bmj.com\/lookup\/doi\/10.1136\/bmj.300.6738.1501"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1990,6,9]]},"references-count":12,"journal-issue":{"issue":"6738","published-online":{"date-parts":[[1990,6,9]]},"published-print":{"date-parts":[[1990,6,9]]}},"alternative-id":["10.1136\/bmj.300.6738.1501"],"URL":"https:\/\/doi.org\/10.1136\/bmj.300.6738.1501","relation":{},"ISSN":["0959-8138","1468-5833"],"issn-type":[{"value":"0959-8138","type":"print"},{"value":"1468-5833","type":"electronic"}],"subject":[],"published":{"date-parts":[[1990,6,9]]}}}