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[基层医疗计算机化分类系统的应用:三年经验]

[Utilization of computerized classification system of primary care: three years of experience].

作者信息

Leduc Y, Cauchon M, Emond J G, Ouellet J

机构信息

Département de médicine familiale, Université Laval.

出版信息

Can Fam Physician. 1995 Aug;41:1338-45.

Abstract

OBJECTIVE

To develop and implement a computerized version of the International Classification of Primary Care. To create a data bank and to conduct a descriptive study of our clinic's clientele. DESIGN: Testing a software program and creating a data bank. SETTING: Family Medicine Unit at Enfant-Jésus Hospital, Quebec City. PARTICIPANTS: All Family Medicine Unit doctors and patients seen between July 1, 1990, and June 30, 1993. MAIN OUTCOME MEASURE: Description of our clientele's health problems using the ICPC. RESULTS: During the study, 48,415 diagnostic codes for 33,033 visits were entered into the bank. For close to 50% of these visits, two or more health problems were coded. There was good correlation between the description of our clientele and descriptions in other studies in the literature. CONCLUSION: This article describes the development of a data bank in a family medicine unit using a software program based on the ICPC. Our 3-year experiment demonstrated that the method works well in family physicians' daily practice. A descriptive study of our clientele is presented, as well as a few examples of the many applications of such a data bank.

摘要

目的

开发并实施初级保健国际分类的计算机版本。创建一个数据库,并对我们诊所的客户群进行描述性研究。

设计

测试一个软件程序并创建一个数据库。

地点

魁北克市耶稣圣婴医院家庭医学科。

参与者

1990年7月1日至1993年6月30日期间家庭医学科诊治的所有医生和患者。

主要观察指标

使用国际初级保健分类法描述我们客户群的健康问题。

结果

在研究期间,33033次就诊的48415个诊断代码被录入数据库。近50%的就诊记录编码了两种或更多的健康问题。我们客户群的描述与文献中其他研究的描述有良好的相关性。

结论

本文描述了在家庭医学科使用基于国际初级保健分类法的软件程序开发数据库的过程。我们的三年实验表明,该方法在家庭医生的日常实践中效果良好。本文展示了对我们客户群的描述性研究,以及该数据库众多应用的一些示例。

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