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PRIMARY CARE: Peter A Margolis, Carole M Lannon, Jayne M Stuart, Bruce J Fried, Lynette Keyes-Elstein, and Donald E Moore, Jr Practice based education to improve delivery systems for prevention in primary care: randomised trial BMJ 2004; 328: 388 [Abstract] [Full text]

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Improved delivery or improved documentation

Richard L Davies   (15 February 2004)

Improved delivery or improved documentation 15 February 2004
Richard L Davies, General Practitioner Glenlea Surgery, 703 Leeds and Bradford Road, Stanningley, LS28 5PL Send response to journal: Re: Improved delivery or improved documentation	I would be more convinced that the improvement in care was due to a change in practice and not increased documentation of current practice if P A Margolis et al had quantified how much the improvment in screening was due to documentation of "a risk assesment" and how much was due to an increased frequency of physical tests. By only stating qualitatively that blood and skin testing "increased" we are left wondering if the increase in delivery of care was mainly due to better documentation. In my practice it would be simple to add "AT RISK OF ANAEMIA ? :YES OR NO" to a computer consultation template for each immunisation or developmental assesment. Thus allowing data collectors to find the information quickly and easily. Competing interests: None declared