One of the hottest political issues today concerns ways to improve national healthcare systems without incurring further costs. An extensive study by the Institute of Medicine (IOM) in the United States formally reported that computer-based patient records are absolutely necessary to help contain the cost explosion in health care. The information obtained from experts, the studies conducted, and the conclusions that went into the IOM's report have now been collected in Aspects of the Computer-Based Patient Record. A large portion of the volume discusses the state-of-the-art in existing computer-based systems as well as the essential needs which must be addressed by future computer-based patients' records. A final section in the book discusses implementation strategies for changing to the electronic system and practical issues: Who will bear the final cost? How and when will healthcare providers who use the system be trained? This volume contains the concise, valuable information which hospital administrators, hospital systems designers, third-party payer groups, and medical technology providers will need if they hope to successfully transit to hospital systems which use a computer-based patient record.

Inhalt

Section 1 User Needs for Computer-based Patient Records (CPRs).- 1. Physicians' Needs for Computer-based Patient Records.- 2. Clinicians' Needs for Office Computer-based Patient Records.- 3. Nurses' Needs for Computer-based Patient Records.- 4. Hospital Administrators' Needs for Computer-based Patient Records.- 5. Patients' Needs for Computer-based Patient Records.- 6. The Computer-based Patient Record: The Third Party Payer's Perspective.- 7. Health Care Researchers' Needs for Computer-based Patient Records.- 8. Record Administrators' Needs for Computer-based Patient Records.- Section 2 Technologies for Computer-based Patient Records (CPRs).- 1. Current State of Computer-based Patient Record Systems.- 2. Database Systems for Computer-based Patient Records.- 3. Terminals and Workstations for Computer-based Patient Records.- 4. The Health Care Professional's Workstation: Its Functional Components and User Impact.- 5. Data Acquisition for the Computer-based Patient Record.- 6. Data Entry for Computer-based Patient Records.- 7. Information Retrieval.- 8. Image Processing and Storage for Computer-based Patient Records.- 9. Data Exchange Standards for Computer-based Patient Records.- 10. The Unified Medical Language System (UMLS) and Computer-based Patient Records.- 11. New Communication Technologies for Integrating Hospital Information Systems and Their Computer-based Patient Records.- 12. System and Data Protection.- 13. Medical Text Processing: Past Achievements, Future Directions.- 14. Essential Technologies for Computer-based Patient Records: A Summary.- 15. The Computer-based Patient Record System Vendor Survey.- Section 3 The Future of the Computer-based Patient Record (CPR).- 1. Future Vision and Dissemination of Computer-based Patient Records.- 2. A Bold Vision: The Computer-based Patient Record Institute.