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牙科自动化个人健康清单:一项试点研究。

Automated personal health inventory for dentistry: a pilot study.

作者信息

Berthelsen C L, Stilley K R

机构信息

Department of Health Information Management, School of Health Related Professions, University of Mississippi Medical Center, Jackson 39206-4505, USA.

出版信息

J Am Dent Assoc. 2000 Jan;131(1):59-66. doi: 10.14219/jada.archive.2000.0020.

Abstract

BACKGROUND

The authors conducted a study to investigate the feasibility of having patients enter their health histories, or HHs, directly into a computer so the HHs then can be transferred into computer-based patient records. The authors examined a patient-completed, pen-based computerized HH questionnaire to determine if it is acceptable to patients, if patients answer sensitive questions on the HH questionnaire more forthrightly using a computer than a pen and paper, and if the availability of explanations and examples provided for each question on the computer questionnaire results in more accurate responses than on the paper version.

METHODS

Fifty subjects completed two almost identical versions of a 78-item HH questionnaire, completing either the pen-based, computerized version first or the paper version first. After the subjects finished the questionnaires, they completed an opinion survey about using the computer to provide their HHs.

RESULTS

Subjects responded favorably to the use of a pen-based computer questionnaire to provide their HH; 73 percent indicated that they would prefer to use it in the future rather than complete a paper questionnaire. The authors found that the overall reliability of answers was 93 percent with an average of 5.4 inconsistent answers between the two HH questionnaires.

CONCLUSIONS

HHs can be collected efficiently and reliably from patients using a computer. It is important, however, that oral health care professionals review the data provided on HHs with their patients regardless of method used to collect them.

CLINICAL IMPLICATIONS

Practices can expand the use of computers into more areas of patient care by having patients complete a computerized HH questionnaire. Computerized data capture is more legible, complete and efficient than a paper HH and can be imported directly into clinical data systems, thus avoiding data entry.

摘要

背景

作者开展了一项研究,以调查让患者直接将其健康史录入计算机,随后再将这些健康史转入基于计算机的患者记录中的可行性。作者对一份患者填写的、基于笔输入的计算机化健康史调查问卷进行了研究,以确定患者是否能够接受该问卷,患者使用计算机回答健康史调查问卷中敏感问题时是否比使用纸笔更加直率,以及计算机调查问卷上为每个问题提供解释和示例是否会比纸质版本产生更准确的回答。

方法

50名受试者完成了两个几乎相同版本的包含78个项目的健康史调查问卷,先完成基于笔输入的计算机化版本或先完成纸质版本。在受试者完成调查问卷后,他们完成了一项关于使用计算机提供健康史的意见调查。

结果

受试者对使用基于笔输入的计算机调查问卷提供健康史反应良好;73%的受试者表示他们未来更愿意使用该问卷而不是完成纸质问卷。作者发现回答的总体可靠性为93%,两份健康史调查问卷之间平均有5.4个不一致的回答。

结论

使用计算机能够高效且可靠地从患者那里收集健康史。然而,无论采用何种收集方法,口腔保健专业人员与患者一起审查健康史上提供的数据都很重要。

临床意义

医疗机构可以通过让患者完成计算机化健康史调查问卷,将计算机的使用扩展到患者护理的更多领域。计算机化数据采集比纸质健康史更清晰、完整和高效,并且可以直接导入临床数据系统,从而避免数据录入。

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