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Methods Inf Med 1976; 15(01): 11-20
DOI: 10.1055/s-0038-1635721
Original Article

The Computerized Problem-Oriented Medical Record at Karolinska Hospital — Format and Function, Users’ Acceptance and Patient Attitude to Questionnaire —

DAS COMPUTERGERECHTE, PROBLEMORIENTIERTE KRANKENBLATT IM KARO-LINSKA-KRANKENHAUS —FORMAT UND FUNKTION, EINSTELLUNG VON BENUTZERN UND HALTUNG DER PATIENTEN ZU DEM FRAGEBOGEN —
Ch. Mellner
,
H. Selander
,
J. Wolodarski
1   Departments of Medical Information and Thoracic Medicine, Karolinska Hospital, Stockholm, Sweden
› Author Affiliations
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In the last five years computerized medical records have come into routine use at some departments of the Karolinska Hospital. These records were to a large extent based on the problem-oriented approach.

This paper describes the format and function of this record, reports the acceptability thereof to the users compared to the traditional source-oriented medical record, and discusses patient attitudes to the questionnaire method for medical history-taking.

In den letzten fünf Jahren werden in einigen Abteilungen des Karolinska-Krankenhauses computergerechte Krankenblätter routinemäßig erstellt. Zum großen Teil sind diese Krankenblätter problemorientiert angelegt.

Die Autoren beschreiben Format und Funktion dieses Krankenblattes, berichten, wie es im Vergleich zum herkömmlichen, quellenorientierten Krankenblatt angenommen wird, und erörtern die Haltimg der Patienten gegenüber der Fragebogenmethode zur Anamneseerhebung.

Key-Words

Computerized Problem-oriented Medical Record - History Taking - Questionnaire

Schlüssel-Wörter

Problemorientiertes Krankenblatt - Anamneseerhebung - Fragebogen


Publication History

Publication Date:
19 February 2018 (online)

Schattauer GmbH

 

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