DIAMOND - A COMPUTERIZED SYSTEM FOR THE MANAGEMENT AND EVALUATION OF DISTRICT-WIDE DIABETES CARE

被引:14
作者
KOPELMAN, PG
MICHELL, JC
SANDERSON, AJ
机构
[1] Diabetes Unit, Newham General Hospital, London
[2] Hicom Technology, Cranleigh, Surrey
关键词
DIABETES; DISTRICT DATABASE; COMPUTER SYSTEM; COLLABORATIVE CARE;
D O I
10.1111/j.1464-5491.1995.tb02068.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A computerized diabetic clinic management system, DIAMOND, has been developed with the collaboration of local general practitioners (GPs) to assist communication about diabetic patients across the district. DIAMOND is written in a Windows format using Microsoft Access and its dataset is in line with BDA and Diabcare recommendations. DIAMOND is user-friendly and includes displays and help messages throughout and does not require advanced computer knowledge. The main index contains two primary tables: a patient registration table with demographic data and an episode table with clinically important physical and biochemical measures. All entered data are coded to facilitate audit and an audit function, which automatically presents data, either numerically or graphically, is included in the report facility. DIAMOND also incorporates a system for patient education and training (FEATS) which may be operated by a health professional or the patient. Over 4500 patients in Newham are presently registered on DIAMOND with in excess of 15000 episodes. Evaluation of this information is providing important clinical information both within individual CF practices and district-wide to assist future plans for health care provision.
引用
收藏
页码:83 / 87
页数:5
相关论文
共 10 条
[1]  
Kopelman PG, Keable-Elliott D, An inner city district diabetes care scheme, Diabetic Med, 7, pp. 558-560, (1990)
[2]  
Williams DRR, Home PD for the Diabetes Audit Working Group of the Research Unit of the Royal College of Physicians and British Diabetic Association. A proposal for continuing audit of diabetes services, Diabetic Med, 9, pp. 759-764, (1991)
[3]  
Wilson AE, Home PD, A dataset to allow exchange of information for monitoring continuing diabetic care, Diabetic Med, 10, pp. 378-390, (1993)
[4]  
Piwernetz K, Home PD, Snorgaard O, Antsiferov M, Staehr-Johansen K, Krans M for the DiabCare Monitoring Group of the St Vincent Declaration Steering Committee. Monitoring the targets of the St Vincent Declaration and the implementation of quality management, Diabetic Med, 10, pp. 371-377, (1993)
[5]  
County Monitor: Inner London, (1992)
[6]  
Howitt AJ, Cheales NA, Diabetic registers: a grassroots approach, Br Med J, 307, pp. 1046-1048, (1993)
[7]  
Mather HM, Keen H, The Southall diabetes Survey: prevalence of known diabetes in Asians and Europeans, Br Med J, 291, pp. 1081-1084, (1985)
[8]  
Laing W, Williams DRR, Diabetes: a Model for Health Care Management, (1989)
[9]  
Hurwitz B, Goodman C, Yudkin J, Prompting the clinical care of non‐insulin dependent (type II) diabetics in an inner city area: one model of community care, Br Med J, 306, pp. 624-630, (1993)
[10]  
Singh BM, Holland MR, Thorn PA, Metabolic control of diabetes in general practice clinics: comparison with a hospital clinic, Br Med J, 289, pp. 726-728, (1984)