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家庭医学信息学:电子病历中的研究问题

Family practice informatics: research issues in computerized medical records.

作者信息

Bernstein R M, Hollingworth G R, Viner G, Lemelin J

机构信息

Department of Family Medicine, University of Ottawa.

出版信息

Proc Annu Symp Comput Appl Med Care. 1993:93-7.

PMID:8130601
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2248483/
Abstract

There are unique features of family and general practice which lead to unique issues in medical informatics for family physicians. The nature of practice in office based community settings and the discipline of dealing with all ages, sexes, and health conditions over the lifetime of a patient and his/her family lead to models of the thinking that are different from those used in most other specialties. Research is urgently needed to verify the models of thinking that physicians use during patient care encounters and the associated nomenclatures and classifications which support them. User interfaces need to be optimized for accuracy and speed. Standards for medical records computing in family practice need testing and validation.

摘要

家庭医疗和全科医疗具有独特的特征,这给家庭医生在医学信息学方面带来了独特的问题。基于办公室的社区环境中的医疗实践性质,以及在患者及其家庭的一生中处理所有年龄、性别和健康状况的学科要求,导致了与大多数其他专科不同的思维模式。迫切需要开展研究,以验证医生在患者护理过程中使用的思维模式以及支持这些模式的相关术语和分类。用户界面需要在准确性和速度方面进行优化。家庭医疗中医疗记录计算的标准需要进行测试和验证。

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