@article{kennedy2014experience,
  title = {Experience of Diagnostic Coding In Irish General Practice: The Practice Perspective},
  author = {Conor Kennedy and Casey O’Brien and Claire Collins},
  year = 2014,
  url = {https://ibimapublishing.com/articles/JMED/2014/583528/},
  journal = {JMED Research},
  volume = 2014 (2014),
  pages = 8,
  doi = 10.5171/2014.583528,
  abstract = {Background:  Coordinated research and diagnostic coding are both in their infancy in Irish general practice.  As part of a larger project, which aimed to investigate the feasibility of primary diagnostic ICPC-2 coding in the Republic of Ireland with a view to creating a national morbidity database via the introduction of coding to a sample of computerised practices, a survey of GP experiences in this regard was undertaken. Research Question:  What are the challenges, barriers and facilitators experienced by participating GP practices in terms of establishing diagnostic coding in their practice? Methods:  An online survey of participating practices (n=25), including detailed open-ended responses, was carried out. Results:  According to respondents, the most significant barriers to the implementation of diagnostic coding in Irish general practice include the impact on consultations with regard to time, patient care, the limitations (and resultant frustrations) of the practice management software (PMS) systems and the ICPC-2 classification structures.  Respondents displayed a high level of competence in terms of using their PMS, a willingness to contribute towards the overall goal of a national morbidity register, a degree of flexibility in terms of adopting the initial additional workload, and perseverance in the knowledge of the existence of a learning curve in terms of diagnostic coding. Conclusions:  There exist both technical and cultural barriers to the establishment of coding throughout Ireland; including issues in relation to the time required to code, and concerns about the specificity of the codes being used to adequately record morbidity.However, it is evident that the skills and desire exist to overcome these obstacles with a view to improving practice and patient management.},
  keywords = {General practice, diagnostic coding, data management, ICPC-2.},
  note = Article ID: 583528
}