Pringle M, Robins S, Brown G
Br Med J (Clin Res Ed). 1985 Jun 8;290(6483):1709-12. doi: 10.1136/bmj.290.6483.1709.
The initial impact of computer assisted preventive screening in general practice consultations has been monitored. The technology has not been found stressful by patients, and the power of the consultation to alleviate low arousal has been increased by computer use. No appreciable increase in the durations of consultation was detected, despite an average computer initiated input of two minutes eight seconds. The computer has successfully prompted preventive screening and health education with a sixfold increase in the number of potentially relevant procedures being mentioned. The actual information presented by the computer has been shown to be crucial, with the terminal's mere presence an ineffective reminder. The computer terminal was used in 65% of the consultations for which it was available, which, if sustained, represents an effective screening programme for attending patients.
在全科医疗咨询中，计算机辅助预防性筛查的初步影响已得到监测。患者并未觉得该技术带来压力，而且使用计算机增强了咨询缓解低唤醒状态的能力。尽管计算机启动的平均输入时间为两分钟零八秒，但未发现咨询时长有明显增加。计算机成功地促进了预防性筛查和健康教育，提及的潜在相关程序数量增加了六倍。事实证明，计算机呈现的实际信息至关重要，仅终端的存在是无效的提醒。在65%可使用计算机终端的咨询中使用了该终端，如果能持续下去，这对就诊患者来说代表着一个有效的筛查方案。
