37
• •
•
5.8 54.0
40.2 95.0
5.0
• •
• •
4.6 COMP
R
TE
S R T
E
The implementation of health information technology, such as electronic health records, may appear difficult and cumbersome. However, significant benefits can be reaped from the adoption of health
information technology, including improved technical efficiency, increased adherence to guidelines, enhanced disease surveillance, reduced medication errors, decreased utilisation of care and reduction in
healthcare costs.
6,7
Only 19.4 of public clinics n
V
129 reported having a functional computer system in the practice. In contrast, 71.6 of the private clinics surveyed n
V
3,443 reported the use of computers in the practice. Figure 4.6.1 illustrates the extent of computer use in each sector.
• Amongst the clinics which reported the use of computers, only 18.1 of public clinics and 36.6 of private clinics were fully computerised.
• In the public sector, the computer system was mainly used for registration 83.7 and medical record keeping 83.3 purposes, whereas in the private sector the main reason for using a
computer system was for billing purpose 79.6.
Figure 4.6.1: Types
W X
computer use in primary care by sector in 2014
Y Z [ Y
Y Z [
Y \ [
Z Z
[ Z [
_
27.2 36.6
79.6
44.7 57.3
\ `
[ Z
16.0
10 20
30 40
50 60
70 80
90 100
Fully computerised
Billing Dispensing
Medical records
Registration Others
a b
c g
b h
i j
k g
l m
h m
g n
o p
q
Public Private
38
National Medical Care Statistics 2014
4.7 WORKFORCE
Information regarding the workforce, which was gathered through the healthcare provider profile questionnaire see Section 3 of Appendix 2, is reported here. Table 4.7.1 shows the distribution of
primary care workforce in the public and private sectors by their designation. Doctors with postgraduate qualifications other than family medicine specialists FMS were included in the non-FMS
category of doctors. • A median of three doctors, six staff nurses, three assistant medical officers, seven community
nurses and one pharmacist were working in a public clinic in 2014. • In the private clinics, a median of one doctor and three clinic assistants were present in each clinic.
Table 4.7.1: Healthcare work
r
orce by sector in primary care clinics in 2014
Designation Public
Private
s
nweighted count
Weighted count
Number
u v
personnel per clinic,
median IQR
s
nweighted count
Weighted count
Number
u v
personnel per clinic,
median IQR
FMS 58
268 0 0–1
12 140
0 0–0 Doctor
606 2,734
3 2–6 659
7,856 1 1–2
Assistant medical officer
433 2,038
3 2–3 5
49 0 0–0
Pharmacist 338
1,394 1 1–2
4 33
0 0–0 Nurses
Staff nurse 1,029
4,699 6 4–9
233 2,922
0 0–0 Community
nurse 1,341
6,398 7 5–12
6 83
0 0–0 Clinic
assistant 4
26 NA
1,363 15,667
3 2–4
Note: FMS – Family medicine specialist; NA – Not applicable.
Family medicine specialists FMS constitute an integral part of the provision of quality primary care service to the public. The distribution of clinics with family medicine specialist is shown in Figure 4.7.1.
Other doctors with postgraduate qualifications will be discussed in the next chapter. • Two out of every five public clinics had a family medicine specialist in the practice.
• In comparison, only three out of 100 private clinics reported having a family medicine specialist in the practice.
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