Weingarten M A, Bazel D, Shannon H S
Department of Family Medicine, Tel Aviv University, Jerusalem, Israel.
Fam Pract. 1989 Jun;6(2):120-4. doi: 10.1093/fampra/6.2.120.
A protocol for adult health maintenance was designed for display on a desk-top microcomputer in the general practitioner's office. Two hundred and twenty-two patients were entered into a randomized study comparing the outcome of the computerized protocol with manual records. The doctor had the option of displaying the single-screen protocol for the experimental group and acting on its prompts in the course of his normal clinical consultations. At the end of 30 months, significantly more preventive medicine items--smoking, height, blood group, tetanus and rubella immunization status and family planning--had been recorded for patients in the computerized group. For other items, requiring more frequent measurements, computerization produced an advantage only for blood pressure and breast examination, but not for weight, occult blood and serum cholesterol. Recording rates increased significantly for patients in both the control and the computerized groups for all the items. Using the computer lengthened the average consultation time from 8.5 minutes to 10 minutes. Such systems are a valuable aid to encouraging doctors to increase the amount of preventive medicine they incorporate into their routine practice.
设计了一种成人健康维护方案，用于在全科医生办公室的台式微机上显示。222名患者进入一项随机研究，比较计算机化方案与手工记录的结果。医生可以选择为实验组显示单屏方案，并在正常临床会诊过程中根据其提示采取行动。30个月结束时，计算机化组患者记录的预防医学项目显著更多，包括吸烟、身高、血型、破伤风和风疹免疫状况以及计划生育。对于其他需要更频繁测量的项目，计算机化仅在血压和乳房检查方面产生优势，而在体重、潜血和血清胆固醇方面则没有优势。对照组和计算机化组患者所有项目的记录率均显著提高。使用计算机使平均会诊时间从8.5分钟延长至10分钟。此类系统对于鼓励医生增加日常诊疗中预防医学的应用量很有帮助。
