PATIENT-INTERACTIVE COMPUTER-SYSTEM FOR OBTAINING MEDICATION HISTORIES

被引：13

作者：

DELEO, JM

PUCINO, F

CALIS, KA

CRAWFORD, KW

DORWORTH, T

GALLELLI, JF

机构：

[1] NIH,DEPT PHARM,DIV COMP RES & TECHNOL,BLDG 10,ROOM IN-257,900 ROCKVILLE PIKE,BETHESDA,MD 20892

[2] NIH,DEPT PHARM,DRUG INFORMAT SERV,BETHESDA,MD 20892

[3] NIH,DEPT PHARM,OUTPATIENT PHARM SERV SECT,BETHESDA,MD 20892

[4] NIH,WARREN GRANT MAGNUSON CLIN CTR,DEPT PHARM,BETHESDA,MD 20892

来源：

AMERICAN JOURNAL OF HOSPITAL PHARMACY | 1993年 / 50卷 / 11期

关键词：

COMPUTERS; PATIENT INFORMATION; RECORDS; REPORTS;

D O I：

10.1093/ajhp/50.11.2348

中图分类号：

R9 [药学];

学科分类号：

1007 ;

摘要：

A portable, patient-interactive computerized system for obtaining medication histories is described. A comprehensive interview script modeling pharmacist-conducted medication-history interviews was written in lay language. The script contains sections on demographics, current medical conditions, medication regimen, medication compliance, symptoms, allergy history, dietary history, psychosocial history, and occupational and environmental exposure; it also asks the patient to evaluate the system. Some of the information requested is often not obtained by physicians during the history and physical examination. A program that conducts the interview by processing a computerized version of the script was developed with Microsoft QuickBASIC. The program was designed to be run on a personal computer microprocessor so that an interview can be conducted virtually anywhere by using a desktop or laptop computer. Summary reports suitable for inclusion in the medical record are generated after each interview. Patients using the system took an average of 40 minutes to complete an interview. They entered data easily and accurately, and they gave the system a high overall rating. The medication-history interviewing system described produces useful, comprehensive, and consistent reports and requires about the same amount of time to conduct an interview as a human interviewer.

引用

页码：2348 / 2352

页数：5

共 32 条

[11]

Gilkison C R, 1992, J Am Coll Health, V40, P247

[12] EVALUATION OF COMPUTER-ACQUIRED PATIENT HISTORIES [J].

GROSSMAN, JH ;

BARNETT, GO ;

MCGUIRE, MT ;

SWEDLOW, DB .

JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1971, 215 (08) :1286-+

[13]

GURVICK EL, 1983, AM J HOSP PHARM, V40, P1541

[14]

LANDRIGAN PJ, 1991, GERIATRICS, V46, P61

[15]

LAUX LF, 1989, 5TH INT C AIDS MONTR

[16] COMPUTER-BASED INTERVIEW FOR SCREENING BLOOD-DONORS FOR RISK OF HIV TRANSMISSION [J].

LOCKE, SE ;

KOWALOFF, HB ;

HOFF, RG ;

SAFRAN, C ;

POPOVSKY, MA ;

COTTON, DJ ;

FINKELSTEIN, DM ;

PAGE, PL ;

SLACK, WV .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1992, 268 (10) :1301-1305

[17] COMPUTER INTERROGATION OF PATIENTS [J].

LUCAS, RW ;

CARD, WI ;

KNILLJONES, RP ;

WATKINSON, G ;

CREAN, GP .

BMJ-BRITISH MEDICAL JOURNAL, 1976, 2 (6036) :623-625

[18] WHY DOCTORS HAVE DIFFICULTY WITH SEX HISTORIES [J].

MERRILL, JM ;

LAUX, LF ;

THORNBY, JI .

SOUTHERN MEDICAL JOURNAL, 1990, 83 (06) :613-617

[19] ASSESSING MEDICAL INTERVIEW PERFORMANCE - EFFECT OF INTERNS GENDER AND MONTH OF TRAINING [J].

MEULEMAN, JR ;

HARWARD, MP .

ARCHIVES OF INTERNAL MEDICINE, 1992, 152 (08) :1677-1680

[20] EVALUATING THE INTERVIEW PERFORMANCE OF INTERNAL MEDICINE INTERNS [J].

MEULEMAN, JR ;

CARANASOS, GJ .

ACADEMIC MEDICINE, 1989, 64 (05) :277-279

← 1 2 3 4 →