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N E Carson

Publications and source records attributed to N E Carson.

At least 19 recordsLinked to original sources

Factors affecting the level of interest and activity in primary care research among general practitioners.

This paper presents the results of a state-wide survey of general practitioners in Victoria, Australia. The survey assessed their level of interest in general practice research as well as factors influencing the decision to participate in research. The study was conducted during the formation of a general practice research network which was being linked to a new primary care research unit in the Department of Community Medicine at Monash University. Of the 3350 general practitioners surveyed 1116 responded. One third expressed a high degree of interest in general practice research. Previous research experience and barriers to general practice research were also studied. The areas in which the doctors felt most research was required were identified. The results are compared with another study of Canadian family physicians, which is the only study of a similar nature previously published. The implications of the results are discussed with reference to the future direction of research by general practitioners.

Choice Behavior

Women in the medical workforce, Victoria.

A study of more detailed data on the specialist medical workforce in 1984 reveals a scarcity of female doctors in many specialties. The average hours of work of female doctors increased significantly from 1977 to 1984, thus prompting a warning that the displacement of male undergraduates by females would not make it much easier to absorb the increasing number of graduates.

Female

The computer in the consultation.

The majority of computer software suitable for family practice has concentrated on the business realities of private medical care at the expense of the more exciting patient care applications. This paper has briefly outlined one development in this area. The authors think that the computer is a not too-distant consulting room too, capable of improving patient care. The hardware-software systems will need to provide high-speed response, multitasking, including interrupt ability, and a range of imaginative modules integrated with a flexible and transportable medical record.

Computers

Epilepsy: a disease audit.

An audit was made of the management of epilepsy in an Australian general practice using a computerized medical record system. The aim was to determine whether disease audit is practical and worth the effort involved. It was concluded that even a sophisticated medical record system can be an inefficient tool for the monitoring of chronic illness. A specific diagnostic and management protocol suitable for later computerization is required. A number of audit objectives were identified: (1) Has the practice diagnosed all cases of epilepsy as predicted by community prevalence studies? (2) Has it correctly classified these diagnoses and supported them by evidence from neurological referral and appropriate investigations (EEG and CT scan)? (3) To what extent has the practice adequately managed these patients? In particular, what percentage of patients have remained free of fits in the previous 12 months? (4) Has the doctor used the simplest drug regimen possible, preferably monotherapy, and avoided side effects? (5) Does the medical record allow analysis and effective audit? Audits of this type in a practice of this size requires a suitable practice register to identify the medical records to be analysed, otherwise a manual search of every record is a major deterrent to audit. Computerized records of the future should be designed so that data and analyses can be produced by automated printout.

Adolescent

General practice and academia. The Monash University programme.

The place of general practice in academia is questioned by some and understood by few. "What can general practice teach?" is often asked. This paper attempts to provide an answer and offers an academia philosophy on the place of a teaching practice in the medical faculty.

Australia

Mobility of Victorian doctors: 1980-1981.

A study of the mobility of doctors, their movement of geographical location and changes in categories within their profession provided evidence of the profession's tendency and capacity to cover deficiencies in the availability of health care.

Australia

An innovative computer installation.

In association with the RACGP, the Department of Community Medicine at Monash University is engaged in a three year research and development project aimed at providing computer assistance for everyday general practice. The system includes a range of options such as drug information, preventive programmes (with patient recall) and patient and doctor education: it is not restricted to accounting and practice management statistics. For this development a new kind of computer hardware called a 'network' has been installed.

Computers

The referral process.

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Academic Medical Centers