Smith G C, Clarke D M, Herrman H E
Monash University Department of Psychological Medicine, Monash Medical Centre, Melbourne, Australia.
Gen Hosp Psychiatry. 1993 Jul;15(4):243-53. doi: 10.1016/0163-8343(93)90039-q.
This paper describes the institution of a clinical database in the consultation-liaison psychiatry service of an Australian general hospital psychiatry unit. One of the problems faced was that many researchers and clinicians in Australia use the ICD-9 rather than the DSM-III-R classification system. Nevertheless, it was possible to use the DSM-III-R-based MICRO-CARES clinical database management system in this project. The data obtained during the first 12 months of its use are presented. Despite differences in the patient demographic characteristics, the data obtained are within the ranges described for North American and European sites. The local benefits of such a clinical database are described, and it is argued that such a database is also necessary for interhospital and international collaborative studies and comparisons.
本文介绍了澳大利亚一家综合医院精神科联络会诊服务中临床数据库的建立。面临的问题之一是，澳大利亚的许多研究人员和临床医生使用国际疾病分类第九版（ICD - 9）而非《精神疾病诊断与统计手册》第三版修订本（DSM - III - R）分类系统。然而，在本项目中仍有可能使用基于DSM - III - R的MICRO - CARES临床数据库管理系统。文中呈现了该系统使用头12个月期间获取的数据。尽管患者人口统计学特征存在差异，但所获数据仍在北美和欧洲地区所描述的范围内。文中描述了此类临床数据库的本地益处，并认为这样的数据库对于医院间及国际合作研究与比较也是必要的。
