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Family Practice Vol. 9, No. 3, 357-361
© Oxford University Press 1992

research-article

General Practitioners' Attitudes Towards Future Developments in Practice Computing—a Representative Survey in the North of Germany

J SZECSENYI, A BUSCHHORN and MM KOCHEN

Department or General Practice, University of Göttngen Robert Koch-Str. 40, D-3400 Göttngen, FRG

A postal questionnaire was sent to a random sample of general practitioners in Lower Saxony, Germany to assess how general practitioners regard newly developed but not yet implemented options of practice computers and future applications such as expert systems and information retrieval systems. Replies were received from 276 (response rate 73.6%) general practitioners. Replying doctors were younger (P<0.05) but they did not differ by sex, practice location, type of vocational training and grade of computerization from non-responding GPs. Twenty-eight per cent of the practices were computerized. Doctors who currently used a computer and those who intended to do so within the next 5 years were significantly younger than those doctors who did not intend to computerize their practice (P<0.001). Female doctors were less willing to buy a computer than their male colleagues (P<0.05). A computerized drug database and a medical library ranked best from 8 options given. Overall attitudes to all features were positive, except for an expert system giving criteria for referrals to specialist care. Doctors already working with a computer and those intending to buy one were significantly more positive about future options for computers than those doctors who do not intend to use a computer (P< 0.01). GPs' attitudes about new features of practice computers in general were positive but even more so about those options which are already available. Referral to a specialist seems to be a crucial point for GPs—they apparently do not want to be guided by a computer here. The influence of new technologies on process of care and the role of GPs have to be considered before further implementation.


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