Cross sectional online survey: Perceived factors affecting the implementation of primary care classification of encounters to improve data recording practices among Sri Lankan doctors

Abstract

INTRODUCTION & OBJECTIVES: There are over 100 million annual Primary Care (PC) encounters which do not translate into published information. Using Classification and Coding Systems (CCS) through electronic Information Systems (e-HIS) is a good strategy to optimize data recording. PC data recording practices(DRP) among doctors affect the reliable published information. The study was conducted to assess doctors' knowledge, attitude and practice on DRP using e-HIS. METHODS: A cross sectional, online survey was carried out among practicing PC doctors. The sample size was 243 while 9900 respondents were approached considering the response factors. Developed scales were colored by the Normalization Process Theory. They demonstrated high internal consistency and construct validity. The Composite Knowledge Score (CKS) and Composite Perception Score (CPS) were used to analyze the levels between groups using dichotomized outcome variables. RESULTS: The results showed a high degree of knowledge about basic concepts while less knowledge on processes of cave. No significant difference of CKS among age groups, qualification level, number of years of service and years Of service in PC. The same observation was made for CPS as well. The median for CPS was 0, indicated total absence of current/past experience on CCS. CONCLUSION: The overall conceptual knowledge about the DRP was good, despite the concept "processes of care" was less known. They perceived electronic recording and classification could be convenient, hence they are willing to carry out the data recording tasks. This seems an opportunity for e-HIS implementation. A proper training on CCS is essential and could be carried out as a general training to all levels of doctors.