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Methods Inf Med 1985; 24(01): 21-26
DOI: 10.1055/s-0038-1635348
Original Article

An Interactive Computerised Protocol for the Management of Hypertension

Ein interaktives, automatisiertes Protokoll für die Behandlung des Bluthochdrucks
A. R. Evans
1   (From the Department of Community Medicine, University of Sheffield Medical School, and the IBM UK Science Centre, Winchester)
,
E. R. Wilkes
1   (From the Department of Community Medicine, University of Sheffield Medical School, and the IBM UK Science Centre, Winchester)
,
P. J. Absolon
1   (From the Department of Community Medicine, University of Sheffield Medical School, and the IBM UK Science Centre, Winchester)
,
T. J. Denner
1   (From the Department of Community Medicine, University of Sheffield Medical School, and the IBM UK Science Centre, Winchester)
,
G. Kaye
1   (From the Department of Community Medicine, University of Sheffield Medical School, and the IBM UK Science Centre, Winchester)
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Summary

The management of hypertension using a computer within a hospital environment is well documented [4, 5, 6, 11, 15]. This paper describes the background, structure and use of an interactive care system designed to be used by general medical practitioners in their consulting rooms.

A management plan (protocol) for the care of an “ideal hypertensive” patient was defined by a group of general practitioners. The method by which this plan was adapted and converted for use on the computer is described. The computer handles patient information according to the protocol, prompting and interacting with the physician in attempting to improve the delivery of care to his hypertensive patients.

The physicians’ acceptance of and compliance with such a care system is examined, and the implications for the future are discussed.

Die Behandlung des Bluthochdrucks unter Verwendung eines Computers in einem Krankenhaus ist gut belegt [4, 5, 6, 11, 15]. In dieser Arbeit werden der Hintergrund, der Aufbau und die Benutzung eines interaktiven Versorgungssystems beschrieben, das zur Verwendung durch niedergelassene Ärzte in ihrer Praxis bestimmt ist.

Ein Plan (Protokoll) zur Versorgung eines »idealen Hypertonikers« wurde von einer Gruppe von Allgemeinmedizinern definiert. Die Methode wird beschrieben, mit der dieser Plan für die Anwendung im Computer angepaßt und umgewandelt wurde. Der Computer handhabt Protokoll-Information über den Patienten in Zusammenarbeit mit dem Arzt, wobei er versucht, die Versorgung seiner Bluthochdruckpatienten zu verbessern.

Die Annahme eines solchen Versorgungssystems durch die Ärzte wird untersucht, und die Folgen für die Zukunft werden erörtert.

Key-Words:

Computerized Medical Records - Hypertension - Long-term Management of Chronic Disease - Interactive Computerised Management of Disease - General Practice

Schlüssel-Wörter:

Automatisierte Krankengeschichten - Bluthochdruck - Langzeitversorgung chronisch Kranker - interaktive - automatisierte Behandlung der Krankheit - Praxis für Allgemeinmedizin


Publication History

Publication Date:
20 February 2018 (online)

Schattauer GmbH

 

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