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For other functions, significant differences at the 5% between groups were observed. The permanent physicians preferentially classify information management functions of state-civil editing records, clinical research and access to the bibliography of compiling statistics medical and communication of results of additional tests (scores> 7, 9). Instead, administrative statistics, computer records of nursing and dietary requirements are lower-rated (Notes <5, 5) (Table 5). For physicians who are not permanent, priority functions are: opening the file, that is to say making Updated information from local files from other hospital departments, publishing reports, the search medical history, automatic access to information of vital statistics and the results examinations, the summary of surgical procedures, and finally the literature and the possibility of publication of results (scores> 8, 1). In contrast, the type of recruitment, administrative statistics and dietary requirements are lower-rated "5, 7).
Among nurses, the priorities are also to marital status and test results complementary. More specific functions here are the management appointments, the care record nurses, and the location of patients taking into account movements (Notes> 7, 3). The combinations of types of diseases or diagnoses, administrative statistics and research obtain the lowest scores of all groups and items "3, 9). For secretaries, the priorities relate to information vital statistics, local management of archives management appointments, publishing reports and communication of test results (scores> 8, 2). A in contrast, access to references, medical statistics or access protocols are not rated "5, 3).

Table 5 summarizes these results.


3.3.3 Influence of the type of service

The grouping of responses by department and not by occupational category shows that the responses do not differ from one service to another, for most items. Only eight items show a difference significant (0.01
<0.05), related difference in half the cases to a higher rating by one of services.
From the perspective of medical records specialist, focused on a small number of diseases, and can serve as support of clinical research trials, we wanted to know if the doctors (and non-permanent) expressed different priorities, especially regarding the protocols and statistics medical, depending on the service to which they belong. The grouping has been made in two classes:
Cardiac & Vascular Pathology one hand (three main diagnoses), Pathology and Digestive Surgery
General other (many diagnoses of respective frequencies below 6%).
The comparison shows no significant difference in the functions "medical statistics" and "management protocols "(both items, overall mean: 7.4 ± 3, 1). In fact, only three items among the 27, differ between the two services at the 5%: this is the search for marital status, history medical monitoring and additional tests (higher scores in the second group (Pathology Digestive and General Surgery).