通过计算机采集患者病史的治疗效果。
The therapeutic effect of taking a patient's history by computer.
作者信息
Dove G A, Clarke J H, Constantinidou M, Royappa B A, Evans C R, Milne J, Goss C, Gordon M, de Wardener H E
出版信息
J R Coll Gen Pract. 1977 Aug;27(181):477-81.
Sixty young women who presented at a general-practice health centre had their medical and social history taken by a computer before having an interview with the doctor. The average length of the automated interview was 90 minutes for the 54 patients who completed the programme, during which an average of 211 questions were answered. The patients found this method acceptable and we think that one of the main reasons for this was that the computer programme was so designed that the patients felt that the doctor was involved throughout.The computer/patient interview also appeared to have therapeutic benefits, and the computer's summary of the history was a sensitive indicator of those topics about which the patient was most concerned. This combination enabled the doctor to communicate more quickly and in greater depth in the time available. In effect, the time which the doctor could spend with the patient was magnified.We suggest that the benefits of this system for taking a history from a patient, of which one is the fact that any language or combination of languages can be used, could be extended to all classes of society.
60名到全科医疗健康中心就诊的年轻女性在与医生面谈前，由计算机获取了她们的医疗和社会史。对于完成该程序的54名患者，自动问诊的平均时长为90分钟，在此期间平均回答了211个问题。患者认为这种方法是可以接受的，我们认为主要原因之一是计算机程序的设计让患者觉得医生全程都有参与。计算机与患者的面谈似乎也有治疗益处，并且计算机生成的病史总结能敏感地显示出患者最关心的话题。这种结合使医生能够在可用时间内更快、更深入地进行沟通。实际上，医生与患者相处的时间被延长了。我们认为这种从患者那里获取病史的系统的益处，其中之一是可以使用任何语言或语言组合，能够扩展到所有社会阶层。
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