Chan D H, Chan N F, Chan C, Lui G, Donnan S P
J R Coll Gen Pract. 1988 Aug;38(313):360-2.
The general practice teaching clinic at the Chinese University of Hong Kong uses a microcomputerbased medical record system. To implement a uniform and up-to-date health maintenance programme, a set of protocols has been written for a list of health maintenance items, and the computer has been programmed to identify the items which should be carried out at each patient encounter. Over a period of 16 months, after the start of this programme, 99% of the 1120 clinic patients had a minimum of two items performed. Of a selected sample of 203 patients 119 attended the clinic more than once in the same period and 47% of these patients had all of the health maintenance items recommended for their age and sex group completed. Abnormal screening results led to action by the general practice team. The process of implementing a health maintenance programme has helped the team to discuss current recommendations and to agree on standards. The programme has also helped with undergraduate teaching. The automated opportunistic health maintenance programme is a practical tool for improving patient care.
香港中文大学的普通科教学诊所采用了基于微机的病历系统。为实施统一且最新的健康维护计划，已针对一系列健康维护项目编写了一套方案，并且已对计算机进行编程，以识别每次接诊患者时应开展的项目。在该计划启动后的16个月期间，1120名诊所患者中有99%至少接受了两项检查。在抽取的203名患者样本中，有119名患者在同一时期不止一次就诊，其中47%的患者完成了针对其年龄和性别组推荐的所有健康维护项目。筛查结果异常促使普通科团队采取行动。实施健康维护计划的过程有助于团队讨论当前的建议并就标准达成一致。该计划也有助于本科教学。自动化的机会性健康维护计划是改善患者护理的实用工具。
