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APPLICATION TO LOGICAL DESIGN TO INCOMPLETE MEDICAL RECORD PROCESSING.

机译：不完整的医疗记录处理在逻辑设计中的应用。

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摘要

Current hospital-based information systems are not adequate to meet the rapidly expanding information needs generated by additional economic competition and payment system changes. Hospitals face both increasingly aggressive competition from other institutions and substitution of treatment modalities which reduces demand for inpatient services. Simultaneously, cost minimization incentives have been established by the change from cost-based reimbursement to prospective fixed price and capitation payment systems. Hospital managements need cost effective information processing as well as more information to manage their institution effectively.;Software Engineering principles are applied to the determination and specification of some RCS requirements. In particular, a Logical Design methodology (LDM) is developed for the creation, capture, and analysis of logical functional requirements. The LDM combines Structured Systems Analysis and Petri Net theory. The Entity Relationship Attribute (ERA) model that defines a logical design language within the LDM is automated at the Program for Research in Information Systems Engineering (PRISE) and applied in the hospital-based requirements specification project. A database that represents the Logical Design Specification (LDS) for the RCS application is populated and reviewed.;The discussion of the proposed RCS reveals that a number of current problems, which result in slow and inadequate incomplete medical record processing, can be alleviated or eliminated. It is concluded that: (1) an IPS based on document image storage and retrieval should improve both medical information availability and completion processing; (2) further work on the development of such an RCS is warranted; and (3) continued development and application of the LDM should be pursued.;Since Medical Record Departments (MRDs) currently provide most medical information within hospitals, interest is strong in expanding information processing capabilities, while also increasing processing efficiency. In particular, completing the inpatient medical record is a slow and costly process that does not satisfactorily meet post-discharge information demands. An automated information processing system (IPS) that uses the latest in document image storage and retrieval technology is proposed. This IPS for aiding in inpatient medical record processing is referred to as the Record Completion System (RCS).
机译：当前基于医院的信息系统不足以满足额外的经济竞争和支付系统变化所产生的快速增长的信息需求。医院既面临来自其他机构的日益激烈的竞争，又面临着替代治疗方式的需求，这减少了对住院服务的需求。同时，通过从基于成本的报销改为预期的固定价格和人头支付系统，建立了成本最小化激励措施。医院管理人员需要具有成本效益的信息处理以及更多信息来有效地管理其机构。;软件工程原理被用于确定和规范一些RCS要求。特别是，开发了逻辑设计方法（LDM），用于创建，捕获和分析逻辑功能需求。 LDM结合了结构化系统分析和Petri网理论。在信息系统工程研究计划（PRISE）中，在LDM中定义逻辑设计语言的实体关系属性（ERA）模型是自动化的，并应用于基于医院的需求规范项目中。填充并查看了代表RCS应用程序的逻辑设计规范（LDS）的数据库。对所提出的RCS的讨论表明，可以缓解或缓解导致医疗记录处理不充分而缓慢的许多当前问题，或者被淘汰。结论：（1）基于文档图像存储和检索的IPS既可以提高医疗信息的可用性，又可以提高完成度； （2）有必要进一步开展此类RCS的开发工作； （3）应当继续开发和应用LDM。由于医疗记录部门（MRD）当前在医院内提供大多数医疗信息，因此强烈希望扩大信息处理能力，同时还要提高处理效率。特别地，完成住院病历是一个缓慢且昂贵的过程，不能令人满意地满足出院后信息需求。提出了一种使用最新文档图像存储和检索技术的自动化信息处理系统（IPS）。用于协助住院病历处理的此IPS被称为“记录完成系统（RCS）”。

著录项

  • 作者

    DURANCE, PAUL WILLIAM.;

  • 作者单位

    University of Michigan.;

  • 授予单位 University of Michigan.;
  • 学科 Engineering Industrial.;Health Sciences Health Care Management.
  • 学位 Ph.D.
  • 年度 1987
  • 页码 373 p.
  • 总页数 373
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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