Gustafson D H, Bosworth K, Hawkins R P, Boberg E W, Bricker E
Center for Health Systems Research and Analysis, University of Wisconsin, Madison.
Proc Annu Symp Comput Appl Med Care. 1992:161-5.
CHESS (the Comprehensive Health Enhancement Support System) is an interactive, computer-based system to support people facing health-related crises or concerns. CHESS provides information, referral to service providers, support in making tough decisions and networking to experts and others facing the same concerns. CHESS will improve access to health and human services for people who would otherwise face psychological, social, economic or geographic barriers to receiving services. CHESS has developed programs in five specific topic areas: Academic Crisis, Adult Children of Alcoholics, AIDS/HIV Infection, Breast Cancer and Sexual Assault. The lessons learned, and the structures developed, will serve as a model for future implementation of CHESS programs in a broad range of other topic areas. CHESS is designed around three major desired outcomes: 1) improving the emotional health status of users; 2) increasing the cost-effective use of health and human services; and 3) reducing the incidence of risk-taking behaviors that can lead to injury or illness. Pilot-testing and initial analysis of controlled evaluation data has shown that CHESS is extensively used, is useful and easy-to-use, and produces positive emotional outcomes. Further evaluation in continuing.
CHESS（综合健康强化支持系统）是一个基于计算机的交互式系统，旨在支持面临健康相关危机或问题的人群。CHESS提供信息、转介服务提供商、协助做出艰难决策以及与面临相同问题的专家和其他人建立联系。CHESS将改善那些原本会因心理、社会、经济或地理障碍而难以获得健康和人类服务的人群获得这些服务的机会。CHESS在五个特定主题领域开展了项目：学术危机、酗酒者的成年子女、艾滋病/艾滋病毒感染、乳腺癌和性侵犯。所吸取的经验教训以及所建立的架构，将为未来在广泛的其他主题领域实施CHESS项目提供一个范例。CHESS围绕三个主要预期成果进行设计：1）改善用户的情绪健康状况；2）提高健康和人类服务的成本效益；3）减少可能导致受伤或疾病的冒险行为的发生率。对对照评估数据的试点测试和初步分析表明，CHESS被广泛使用，既有用又易于使用，并能产生积极的情绪效果。进一步的评估正在进行中。
