The quality of electronic patient records in Finnish primary healthcare needs to be improved

Figures & data

Figure 1.  Selection of material used in the study.

Table I.  Assessed quality of recorded parameters in patient records.

	Poor or not mentioned		Moderate		Good
	n	% (95% CI)	n	% (95% CI)	n	% (95% CI)
Patient history	119	68 (61–75)	42	24 (18–31)	14	8 (4–13)
Acute problem	28	16 (11–22)	92	53 (45–60)	55	31 (25–39)
Status	67	38 (31–46)	52	30 (23–37)	56	32 (25–39)
Treatment (n = 154)	8	5 (2–10)	103	67 (59–74)	43	28 (21–36)

Table II.  General informative value of records assessed by the researchers relative to the quality of consultations assessed by the patients and GPs.

		General informative value of the records
		Poor	Moderate	Good
Quality of the consultations rated by the patients and GPs	Poor n	12	54	20
	% (95% CI)	14% (7–23)	63% (52–73)	23% (15–34)
	Good n	20	54	15
	% (95% CI)	22% (14–33)	61% (50–71)	17% (10–26)

Table III.  Quality of patient records by electronic system.

	Effica		Pegasos		Finstar		p-value
	N	% (95% CI)	n	%(95% CI)	n	% (95% CI)
Patient history
Poor	87	74 (65–82)	18	56 (38–74)	14	54 (33–73)	0.003
Moderate	24	21 (14–29)	7	22 (9–40)	11	42 (23–63)
Good	6	5 (2–11)	7	22 (9–40)	1	4 (0–20)
Acute problem
Poor	24	21 (14–29)	2	6 (1–21)	2	8 (1–21)	0.140
Moderate	60	51 (42–61)	16	50 (32–68)	16	50 (32–68)
Good	33	28 (20–37)	14	44 (26–62)	14	44 (26–62)
Status
Poor	52	44 (35–54)	5	16 (5–33)	10	38 (20–60)	0.006
Moderate	37	32 (23–41)	18	28 (14–47)	6	23 (9–44)
Good	28	24 (17–33)	56 (38–74)	10	38 (20–60)
Treatment
Poor	7	6 (2–12)	0	0	1	4 (0–20)	<0.001
Moderate	73	62 (53–71)	13	41 (24–60)	17	65 (44–83)
Good	22	19 (12–27)	19	59 (41–76)	2	8 (1–25)
No treatment	10	9 (4–15)	0	0	6	23 (9–45)
Only prescriptions	5	4 (1–10)	0	0	0	0
Prescriptions
Poor	11	9 (5–16)	1	3 (0–16)	1	4 (0–20)	<0.001
Moderate	16	14 (8–21)	7	22 (9–40)	0	0
Good	31	27 (19–35)	1	3 (0–16)	1	4 (0–20)
Excellent	14	12 (7–19)	12	38 (21–56)	17	65 (44–83)
No prescriptions	45	38 (30–48)	11	34 (19–53)	7	27 (12–48)
General informative value
Poor	22	19 (12–27)	2	6 (1–21)	8	31 (14–52)	0.002
Moderate	78	67 (57–75)	16	50 (32–68)	14	54 (33–73)
Good	17	15 (9–22)	44 (26–62)	4	15 (4–35)