Abstract
OBJECTIVE: To find the attitudes and expectations of doctors during the process of computerising primary care (PC). DESIGN: Qualitative investigation through discussion groups. PARTICIPANTS: Thirty-one doctors from the two PC regions of Gipuzkoa. METHOD: Intentional stratified sampling by regions and by experience in using a computer in the consulting-room. Five discussion groups with recording and transcription of the contents with prior authorisation and guarantee of confidentiality. Qualitative analysis of the notes and transcriptions with the help of computer back-up. Validation through sending of results to participants and discussion between the authors. RESULTS: Introducing computers into PC consulting-rooms had repercussions both on the ordering and contents of the information recorded. The effort <> was not accompanied by subsequent evaluation. Notable deficiencies in management of the computerising process were perceived. Computer use created additional symbolic effects for both patients and doctors. CONCLUSIONS: Computerising PC is a process whose repercussions on medical care are far from neutral and so require rigorous discussion and evaluation. Defining step-by-step and measurable objectives, transparency in management and the promotion of evaluative research would all favour the effective development of projects to computerise PC.