A survey of computer use for administrative functions in private medic
al practices showed that the use of computers for practice management
is increasing: almost 75% of the practices responding used office comp
uters. Satisfaction with the systems was limited, however, and the mor
e frequent users (administrative staff members) were less satisfied th
an the less frequent users (physicians). Satisfaction with a computing
system was directly related to its usefulness and its compatibility w
ith existing work practices. Office systems continue to be used most f
or financial tasks, such as billing and insurance filing. A desired an
d necessary change would be an improved ability for clinical record ke
eping. Physicians' notes were transcribed in more than half the practi
ces surveyed; if systems were designed with physician-friendly interfa
ces for record keeping, the costs associated with transcription could
be cut.