Improving general practice based epidemiologic surveillance using desktop clients: the French Sentinel Network experience.
BACKGROUND
Web-based applications are a choice tool for general practice based epidemiological surveillance; however their use may disrupt the general practitioners (GPs) work process. In this article, we propose an alternative approach based on a desktop client application. This was developed for use in the French General Practitioners Sentinel Network.


METHODS
We developed a java application running as a client on the local GP computer. It allows reporting cases to a central server and provides feedback to the participating GPs. XML was used to describe surveillance protocols and questionnaires as well as instances of case descriptions. An evaluation of the users' feelings was carried out and the impact on the timeliness and completeness of surveillance data was measured.


RESULTS
Better integration in the work process was reported, especially when the software was used at the time of consultation. Reports were received more frequently with less missing data. This study highlights the potential of allowing multiple ways of interaction with the surveillance system to increase participation of GPs and the quality of surveillance.
Turbelin
Clément
C
UPMC University Paris 06, UMR S 707, AP-HP, Hôpital Saint-Antoine, F-75012 Paris, France. turbelin@u707.jussieu.fr
Boëlle
Pierre-Yves
PY
D003195:Computer Communication Networks; D003628:Database Management Systems; D018563:Disease Notification / Q000379:methods*; D057286:Electronic Health Records; D058006:General Practice / Q000379:methods*; D018571:Sentinel Surveillance; D012984:Software; D014584:User-Computer Interface