Patient entries in the electronic medical record: an interactive interview used in primary care.

机译：电子病历中的患者条目：用于初级保健的交互式采访。

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We describe the development, implementation, and use of a computer-administered patient interview, the Health History Interview, by over 300 new patients in a primary care practice at Boston's Beth Israel Hospital. The interview has been well accepted by patients and rated positively by providers. It electronically captures clinical information directly from patients for use during their initial encounter with a provider. It facilitates aggregate analysis of clinical data for quality improvement efforts, such as aiming preventive medicine interventions at identified problem areas within the clinic. Expectations management has been an important task throughout the project. Increasing use of the interview beyond the 30-40% of new patients who have taken it will require greater communication with patients, greater convenience to patients and providers, and more evidence of the clinical, administrative, and research benefits of the technique. Most important, full implementation will require fundamental changes in physician practice habits and patterns of communication between patients and the health care system, as well as clearly demonstrated cost-benefit improvements through the use of these tools.

机译：我们描述了在波士顿贝丝以色列医院的一次初级保健实践中，由300多名新患者进行的计算机管理的患者访谈（健康史访谈）的开发，实施和使用。访谈已被患者很好地接受，并得到了提供者的积极评价。它可以直接从患者那里以电子方式捕获临床信息，以便在他们与服务提供者初次接触时使用。它有助于为质量改进工作而对临床数据进行综合分析，例如将预防医学干预措施针对诊所内已确定的问题区域。期望管理一直是整个项目中的重要任务。在接受采访的新患者中，越来越多地使用采访，而不是30-40％的患者，将需要与患者进行更多的交流，为患者和提供者提供更大的便利，并需要更多证据证明该技术的临床，行政和研究优势。最重要的是，全面实施将需要从根本上改变医师的实践习惯以及患者与医疗保健系统之间的沟通方式，并通过使用这些工具清楚地证明成本效益得到改善。

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期刊名称 AMIA Annual Symposium Proceedings
作者
J. S. Wald; D. Rind; C. Safran; H. Kowaloff; R. Barker; W. V. Slack;
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年(卷),期 1995(147–151),-1
年度 1995
页码 147–151
总页数 5
原文格式 PDF
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机译：了解，评估和增强在初级护理环境中采用电子病历的方案：一项旨在提高电子病历数据质量及其对家庭实践的激励措施的计划，该方案为慢性病患者提供激励和加强护理
6. Patients experiences when accessing their on-line electronic patient records in primary care. [O] . Cecilia Pyper, Justin Amery, Marion Watson, 2004

机译：患者在初级保健中访问其在线电子病历时的经验。
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Patient entries in the electronic medical record: an interactive interview used in primary care.

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