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J R Coll Gen Pract. 1986 November; 36(292): 506–509.
PMCID: PMC1960714

Feasibility and usefulness of family record cards in general practice

Abstract

In order to determine the feasibility of family record cards in general practice a research secretary created cards for 1825 households from a practice of 10 600 patients. The capital cost was £108 and the time taken by the secretary was 1638 hours, which is equivalent to a wage of £1330 for a maximum grade secretary, assuming a 70% rebate paid by the family practitioner committee. Approximately six and a half hours of receptionist/secretarial time are needed each week to maintain the system. The doctors spent a mean of three minutes checking and completing the initial update of each card.

Before the cards were introduced, most information about families was held in the doctors' heads, and little was written in the records even though the doctors considered family information relevant in 33% of consultations. After the introduction of family record cards the doctors had access to reasonably complete information about the family at 98% of consultations and the cards were used at 95% of consultations. The doctors believed the information was useful for establishing rapport, identifying patients' concerns, obtaining relevant history, forming diagnostic hypotheses and managing the present complaint. Trainees and locums found the cards more useful than principals.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Neighbour R. Family therapy by family doctors. J R Coll Gen Pract. 1982 Dec;32(245):737–742. [PMC free article] [PubMed]
  • Olsen EH. The impact of serious illness on the family system. Postgrad Med. 1970 Feb;47(2):169–174. [PubMed]
  • Widmer RB, Cadoret RJ, North CS. Depression in family practice: some effects on spouses and children. J Fam Pract. 1980 Jan;10(1):45–51. [PubMed]
  • Hoebel FC. Family-interactional therapy in the management of cardiac-related high-risk behaviors. J Fam Pract. 1976 Dec;3(6):613–618. [PubMed]
  • Cormack JJ. The medical record envelope--a case for reform. J R Coll Gen Pract. 1970 Dec;20(101):333–353. [PMC free article] [PubMed]
  • Crouch MA, Thiedke CC. Documentation of family health history in the outpatient medical record. J Fam Pract. 1986 Feb;22(2):169–174. [PubMed]
  • Dawes KS. Survey of general practice records. Br Med J. 1972 Jul 22;3(5820):219–223. [PMC free article] [PubMed]
  • Medalie JH. Family determinants of disease. I. General principles and concepts. Fam Pract. 1984 Mar;1(1):9–13. [PubMed]
  • Osterweis M, Bush PJ, Zuckerman AE. Family context as a predictor of individual medicine use. Soc Sci Med. 1979 May;13A(3):287–291. [PubMed]
  • MEYER RJ, HAGGERTY RJ. Streptococcal infections in families. Factors altering individual susceptibility. Pediatrics. 1962 Apr;29:539–549. [PubMed]
  • Medalie JH, Goldbourt U. Angina pectoris among 10,000 men. II. Psychosocial and other risk factors as evidenced by a multivariate analysis of a five year incidence study. Am J Med. 1976 May 31;60(6):910–921. [PubMed]
  • Bruhn JG. Effects of chronic illness on the family. J Fam Pract. 1977 Jun;4(6):1057–1060. [PubMed]
  • KUENSSBERG EV. RECORDING OF MORBIDITY OF FAMILIES: F. BOOK. J Coll Gen Pract. 1964 May;7:410–422. [PMC free article] [PubMed]
  • Grace NT, Neal EM, Wellock CE, Pile DD. The family-oriented medical record. J Fam Pract. 1977 Jan;4(1):91–98. [PubMed]
  • Ruth DH, Rigden S, Brunworth D. An integrated family-oriented problem-oriented medical record. J Fam Pract. 1979 Jun;8(6):1179–1184. [PubMed]
  • Shapiro DM. A family data base for the family oriented medical record. J Fam Pract. 1981 Nov;13(6):881–887. [PubMed]
  • Murray M, Sydenham D, Westlake R. A questionnaire as a data base in problem orientated records. J R Coll Gen Pract. 1974 Aug;24(145):572–575. [PMC free article] [PubMed]
  • Tomson P. Medical records. VI: Middle-sized group practice. Br Med J (Clin Res Ed) 1981 May 2;282(6274):1438–1441. [PMC free article] [PubMed]
  • Tomson P. Sharing problem cards with patients. J R Coll Gen Pract. 1985 Nov;35(280):534–535. [PMC free article] [PubMed]

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