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The computer-based patient record [[electronic resource] ] : an essential technology for health care / / Committee on Improving the Patient Record, Division of Health Care Services, Institute of Medicine ; Richard S. Dick, Elaine B. Steen, and Don E. Detmer, editors
| The computer-based patient record [[electronic resource] ] : an essential technology for health care / / Committee on Improving the Patient Record, Division of Health Care Services, Institute of Medicine ; Richard S. Dick, Elaine B. Steen, and Don E. Detmer, editors |
| Edizione | [Rev. ed.] |
| Pubbl/distr/stampa | Washington, D.C., : National Academy Press, 1997 |
| Descrizione fisica | 1 online resource (256 p.) |
| Disciplina | 651.5/04261/0285 |
| Altri autori (Persone) |
DickRichard S
SteenElaine B DetmerDon E |
| Soggetto topico |
Medical records - Data processing
Medical care |
| Soggetto genere / forma | Electronic books. |
| ISBN |
1-280-21086-9
9786610210862 0-309-57885-X 0-585-02109-0 |
| Formato | Materiale a stampa  |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Record Nr. | UNINA-9910456082203321 |
| Washington, D.C., : National Academy Press, 1997 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
The computer-based patient record [[electronic resource] ] : an essential technology for health care / / Committee on Improving the Patient Record, Division of Health Care Services, Institute of Medicine ; Richard S. Dick, Elaine B. Steen, and Don E. Detmer, editors
| The computer-based patient record [[electronic resource] ] : an essential technology for health care / / Committee on Improving the Patient Record, Division of Health Care Services, Institute of Medicine ; Richard S. Dick, Elaine B. Steen, and Don E. Detmer, editors |
| Edizione | [Rev. ed.] |
| Pubbl/distr/stampa | Washington, D.C., : National Academy Press, 1997 |
| Descrizione fisica | 1 online resource (256 p.) |
| Disciplina | 651.5/04261/0285 |
| Altri autori (Persone) |
DickRichard S
SteenElaine B DetmerDon E |
| Soggetto topico |
Medical records - Data processing
Medical care |
| ISBN |
0-309-17534-8
1-280-21086-9 9786610210862 0-309-57885-X 0-585-02109-0 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Record Nr. | UNINA-9910778664603321 |
| Washington, D.C., : National Academy Press, 1997 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
The computer-based patient record : an essential technology for health care / / Committee on Improving the Patient Record, Division of Health Care Services, Institute of Medicine ; Richard S. Dick, Elaine B. Steen, and Don E. Detmer, editors
| The computer-based patient record : an essential technology for health care / / Committee on Improving the Patient Record, Division of Health Care Services, Institute of Medicine ; Richard S. Dick, Elaine B. Steen, and Don E. Detmer, editors |
| Edizione | [Rev. ed.] |
| Pubbl/distr/stampa | Washington, D.C., : National Academy Press, 1997 |
| Descrizione fisica | 1 online resource (256 p.) |
| Disciplina | 651.5/04261/0285 |
| Altri autori (Persone) |
DickRichard S
SteenElaine B DetmerDon E |
| Soggetto topico |
Medical records - Data processing
Medical care |
| ISBN |
0-309-17534-8
1-280-21086-9 9786610210862 0-309-57885-X 0-585-02109-0 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
THE COMPUTER-BASED PATIENT RECORD -- Copyright -- Preface-Revised Edition -- Preface-Original Edition -- Acknowledgments-Revised Edition -- Acknowledgements-Original Edition -- Contents -- Commentary -- A Progress Report on Computer-Based Patient Records in the United States -- THE CHANGING HEALTH CARE LANDSCAPE: REINFORCING THE NEED FOR CPRS -- The Evolving Role of Primary Care -- The Integrated Delivery System -- Technological Advances -- The Internet and the World Wide Web: Widespread Connectivity -- World Wide Web Browsers: A Universal View on the Internet -- The Intranet -- Network-Centric Computing -- THE CURRENT STATE OF CPRS -- The CPR Market -- Integrated View of Patient Data -- Access to Knowledge Resources -- Physician Order Entry and Clinician Data Entry -- Integrated Communications Support -- Clinical Decision Support -- At the Fork -- Recent Activity to Advance CPRs in the United States -- Remaining Barriers or Challenges -- Definition of the CPR -- Meeting User Needs -- Standards -- Legal and Social Issues -- Costs and Benefits -- Leadership -- CONCLUSION -- ACKNOWLEDGMENTS -- REFERENCES -- Commentary -- A Progress Report on Computer-Based Patient Records in Europe -- THE CURRENT STATE OF CPRS IN EUROPE -- CPR SYSTEMS IN PRIMARY CARE -- Role of GPs -- Training -- Structure of Health Care -- Population-Based Care -- CPR SYSTEMS IN HOSPITALS -- Platforms for CPRs -- Integrated CPRs -- CPR Data Entry -- Natural Language Processing -- Structured Data Entry -- CPR SYSTEMS FOR SHARED CARE -- CoCo -- Diabcard -- USE OF CPR DATA -- Critiquing a Physician's Care -- INTEGRATION OF PROTOCOLS WITH CPR SYSTEMS -- Review of CPR Databases -- ADDRESSING BARRIERS -- Privacy and Confidentiality -- Standardization -- Electronic Health Care Record Architecture -- Coding Systems for Drugs -- Syntax for Health Care Data Interchange.
Exchange of Medical Images and Related Data -- User Identification -- CONCLUSION -- REFERENCES -- Summary -- USER NEEDS AND SYSTEM REQUIREMENTS -- COMPUTER-BASED PATIENT RECORD TECHNOLOGIES -- NONTECHNOLOGICAL BARRIERS -- RECOMMENDATIONS -- 1 Introduction -- THE STUDY -- The Committee's Charge -- Committee Activities -- Definitions -- REPORT ORGANIZATION -- THE PATIENT RECORD -- Strengths and Weaknesses of Paper Patient Records -- Problems with Patient Record Content -- Problems with Format -- Problems with Access, Availability, and Retrieval -- Problems with Linkages and Integration -- Outpatient Records -- INFORMATION MANAGEMENT CHALLENGES -- An Information-Intensive Industry -- An Information Explosion -- Increasing Demand for Data -- Maintaining Confidentiality -- INFORMATION MANAGEMENT OPPORTUNITIES -- BEYOND TECHNOLOGY -- WHY NOW? -- REFERENCES -- 2 The Computer-Based Patient Record: Meeting Health Care Needs -- DEFINING HEALTH CARE NEEDS -- Patient Record Users -- Patient Record Uses -- TRANSLATING CUSTOMER NEEDS INTO SYSTEM REQUIREMENTS -- Patient Record Functions -- Storage -- Guidance of Clinical Problem Solving -- Practitioner Support -- Implementation and Operation Issues -- THE FUTURE PATIENT RECORD -- REFERENCES -- 3 Computer-Based Patient Record Technologies -- TECHNOLOGICAL BUILDING BLOCKS FOR CPR SYSTEMS -- Databases and Database Management Systems -- Databases -- Database Management Systems -- Workstations -- Data Acquisition and Data Retrieval -- Data Acquisition -- Data Retrieval -- Text Processing -- Image Processing and Storage -- Data-Exchange and Vocabulary Standards -- System Communications and Network Infrastructure -- System Reliability and Security -- Linkages to Secondary Databases -- EXPERIENCE WITH CPR SYSTEMS -- AN OVERVIEW OF CPR SYSTEMS -- Physician Offices and Group Practice Settings -- The Medical Record. Health Maintenance Organizations -- Computer-Stored Ambulatory Record Systems -- Single Hospitals or Medical Centers -- Theresa System -- Health Evaluation Through Logical Processing -- Beth Israel and Brigham and Women's Hospital System -- Lockheed's Early Clinical Information System -- Large Multihospital Systems -- Department of Veterans Affairs -- Department of Defense -- International Developments -- The Exmouth Project -- Selected Emerging Developments -- Chart Checker -- Problem-Knowledge Coupler -- Medical Logic Modules -- CLINICIAN INTERACTION AND RESISTANCE -- TECHNOLOGICAL BARRIERS -- The Human Interface and System Performance -- Text Processing -- Confidentiality and Security -- Health Data-Exchange Standards -- SUMMARY -- REFERENCES -- Appendix: the Computer-based Patient Record System Vendor Survey -- GENERAL OBSERVATIONS -- SURVEY FINDINGS -- 4 The Road to CPR Implementation -- DEVELOPMENT AND DIFFUSION FACTORS -- Barriers to Development -- Patient Record Definition -- Content and Format Standards -- Costs and Risks -- Barriers to Diffusion -- Environment of the Health Care System -- Leadership -- User Behavior, Education, and Training -- Costs -- Legal and Social Issues -- Network Needs -- ELEMENTS OF AN IMPLEMENTATION STRATEGY -- Change Agents and Stakeholders -- Health Care Professionals and Professional Associations -- Patients and Representatives of Patients -- Provider Institutions -- Third-party Payers -- Federal Government -- States -- Universities and Professional Schools -- Standard-setting Organizations -- Vendors -- Activities and Resources Critical to CPR Development -- Organizational Structure -- Federal Agency -- Private Sector Sponsorship -- Public-Private Commission or Consortium -- Preferred Approach -- Specific Steps for Change Agents -- SUMMARY -- REFERENCES. Appendix: Maternal and Child Health Care and Computer-Based Patient Records -- 5 Improving Patient Records: Conclusions and Recommendations -- CONCLUSIONS -- RECOMMENDATIONS -- Data Acquisition -- Data and Security Standards -- Data Standards -- Security Standards -- Networking Support -- Cost-Benefit Analysis -- Quality Assurance -- Structure and Format of the Patient Record -- SUMMARY -- Appendix A Subcommittees -- USERS AND USES SUBCOMMITTEE MEMBERS -- TECHNOLOGY SUBCOMMITTEE MEMBERS -- STRATEGY AND IMPLEMENTATION SUBCOMMITTEE -- Appendix B Legal Aspects of Computer-based Patient Records and Record Systems -- STATE LICENSURE LAWS -- Hospital Licensure Laws as Barriers to Full Automation -- Other State Licensure Laws -- Medicare Regulations -- Hospital Accreditation Requirements -- PATIENT RIGHTS ISSUES -- Right of Privacy -- Right of Access to Health Records -- Ownership of Patient Data and of the Patient Record -- Ownership of the Patient Record -- Rights in Information Contained in the Record -- EVIDENTIARY ISSUES -- Importance of Admissibility of Patient Records as Evidence -- Rule Against Hearsay -- Definition of Hearsay -- Business Records Exception -- Best Evidence Rule -- RISKS ARISING FROM COMPUTER-BASED PATIENT RECORD SYSTEMS -- Breaches of Confidentiality and Unauthorized Access -- Computer Viruses and Other Computer Sabotage -- Potential for Inaccessibility -- Questions of Durability -- Accuracy Issues -- Selected Legal Issues in Computer Contracting -- OVERCOMING LEGAL BARRIERS TO COMPUTER-BASED PATIENT RECORDS AND RECORD SYSTEMS -- Adoption of Uniform National Licensure Standards and Health Information Laws -- Overcoming Special Legal Risks Related to Computer-based Patient Records -- CONCLUSION -- Index. |
| Record Nr. | UNINA-9910811520203321 |
| Washington, D.C., : National Academy Press, 1997 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
The nation's physician workforce [[electronic resource] ] : options for balancing supply and requirements / / Committee on the U.S. Physician Supply ; Kathleen N. Lohr, Neal A. Vanselow, and Don E. Detmer, editors
| The nation's physician workforce [[electronic resource] ] : options for balancing supply and requirements / / Committee on the U.S. Physician Supply ; Kathleen N. Lohr, Neal A. Vanselow, and Don E. Detmer, editors |
| Pubbl/distr/stampa | Washington, D.C., : National Academy Press, 1996 |
| Descrizione fisica | xii, 109 p. : ill |
| Disciplina | 331.12/91362172/0973 |
| Altri autori (Persone) |
LohrKathleen N. <1941->
VanselowNeal A (Neal Arthur) DetmerDon E |
| Soggetto topico |
Physicians - Supply and demand - United States
Medical policy - United States Health planning - United States |
| Soggetto genere / forma | Electronic books. |
| ISBN |
1-280-19216-X
9786610192168 0-309-58890-1 0-585-00183-9 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Record Nr. | UNINA-9910456097403321 |
| Washington, D.C., : National Academy Press, 1996 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
The nation's physician workforce [[electronic resource] ] : options for balancing supply and requirements / / Committee on the U.S. Physician Supply ; Kathleen N. Lohr, Neal A. Vanselow, and Don E. Detmer, editors
| The nation's physician workforce [[electronic resource] ] : options for balancing supply and requirements / / Committee on the U.S. Physician Supply ; Kathleen N. Lohr, Neal A. Vanselow, and Don E. Detmer, editors |
| Pubbl/distr/stampa | Washington, D.C., : National Academy Press, 1996 |
| Descrizione fisica | xii, 109 p. : ill |
| Disciplina | 331.12/91362172/0973 |
| Altri autori (Persone) |
LohrKathleen N. <1941->
VanselowNeal A (Neal Arthur) DetmerDon E |
| Soggetto topico |
Physicians - Supply and demand - United States
Medical policy - United States Health planning - United States |
| ISBN |
0-309-17589-5
1-280-19216-X 9786610192168 0-309-58890-1 0-585-00183-9 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Record Nr. | UNINA-9910778655603321 |
| Washington, D.C., : National Academy Press, 1996 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
The nation's physician workforce : options for balancing supply and requirements / / Committee on the U.S. Physician Supply ; Kathleen N. Lohr, Neal A. Vanselow, and Don E. Detmer, editors
| The nation's physician workforce : options for balancing supply and requirements / / Committee on the U.S. Physician Supply ; Kathleen N. Lohr, Neal A. Vanselow, and Don E. Detmer, editors |
| Edizione | [1st ed.] |
| Pubbl/distr/stampa | Washington, D.C., : National Academy Press, 1996 |
| Descrizione fisica | xii, 109 p. : ill |
| Disciplina | 331.12/91362172/0973 |
| Altri autori (Persone) |
LohrKathleen N. <1941->
VanselowNeal A (Neal Arthur) DetmerDon E |
| Soggetto topico |
Physicians - Supply and demand - United States
Medical policy - United States Health planning - United States |
| ISBN |
0-309-17589-5
1-280-19216-X 9786610192168 0-309-58890-1 0-585-00183-9 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
The Nation's Physician Workforce: Options for Balancing Supply and Requirements -- Copyright -- Preface -- Acknowledgments -- Contents -- The Nation's Physician Workforce: Options for Balancing Supply and Requirements -- Summary -- U.S. PHYSICIAN SUPPLY AND REQUIREMENTS -- RELATIONSHIP OF PHYSICIAN SUPPLY TO KEY ELEMENTS OF THE HEALTH CARE SYSTEM -- STRATEGIES FOR ADDRESSING PHYSICIAN SUPPLY ISSUES -- Producing Physicians from U.S. Medical Schools -- Revamping Graduate Medical Training -- Controlling IMG Numbers through GME -- Replacement Funding for IMG-Dependent Hospitals -- Data Collection and Information Dissemination -- CONCLUDING STATEMENT -- 1 Introduction -- THE PHYSICIAN WORKFORCE -- THE MATCH-OR MISMATCH-BETWEEN SUPPLY AND REQUIREMENTS -- ORIGINS AND ORGANIZATION OF THE STUDY -- Charge to the Committee and Project Activities -- Related Issues -- Principles Underlying Committee Conclusions and Recommendations -- ORGANIZATION OF THIS REPORT -- 2 U.S. Physician Supply and Requirements: Match or Mismatch? -- PHYSICIAN WORKFORCE ISSUES SINCE WORLD WAR II -- General Issues -- Pre-1980s Era -- Current Status -- Physician Workforce Trends -- Overall Trends in Supply -- Trends in Graduate Medical Education -- METHODS OF ESTIMATING PHYSICIAN SUPPLY, PRODUCTIVITY, AND REQUIREMENTS -- Physician Supply -- Physician Productivity -- Physician Requirements -- THE FUTURE REQUIREMENT FOR PHYSICIANS -- Factors That Could Increase Requirements -- Factors That Could Decrease Requirements -- Managed Care -- Use of Nonphysician Personnel -- INTERNATIONAL COMPARISONS -- MATCH OR MISMATCH? -- Conclusions of Physician Workforce Studies -- Evidence from the Marketplace -- Physician Incomes -- Other Evidence -- CONCLUSION -- NOTES -- APPENDIX -- A Brief Note on Managed Care -- 3 Relationship of Physician Supply to Key Elements of the Health Care System.
HEALTH CARE EXPENDITURES -- Competition -- Physician Incomes -- Health Care Costs -- ACCESS TO CARE -- Geographic Distribution -- Specialty Distribution -- Summary Comment About Access to Care -- QUALITY OF CARE -- High Numbers of Physicians Overall -- General Effects -- Volume and Quality -- Provider and Consumer Satisfaction -- Specialist-Generalist Issues -- Education and Training -- Issues Relating to IMGs -- Costs, Quality, and Physician Supply -- Summary Comment -- OTHER ISSUES IN PRODUCTION AND UTILIZATION OF THE PHYSICIAN WORKFORCE -- Human Resources Considerations -- Opportunities for Medical Careers -- U.S. Policy and the World Output of Physicians -- Future of Academic Health Centers -- General Issues -- The Service-Training Link and IMG-Dependent Institutions -- CONCLUSION -- NOTES -- 4 Strategies for Addressing Physician Supply Issues -- DO NOTHING: THE FREE OR UNREGULATED MARKET APPROACH -- INSTITUTE CENTRAL FEDERAL REGULATION -- General Approaches to Planning and Managing Physician Supply -- Committee Views -- A CONSTRAINED MARKET APPROACH -- Antitrust Considerations -- Production of Physicians from U.S. Medical Schools -- Revamp Graduate Medical Training -- Reduce GME Positions Without Changing GME Funding -- Reduce First-Year Residency Positions and Change The Approach to GME Funding -- Disconnect Funding of Service Delivery From Physician Training -- Specific Controls on Immigration -- Central Government Regulation -- Controlling IMG Numbers Through GME -- Replacement Funding for IMG-Dependent Hospitals -- Data Collection and Information Dissemination -- CONCLUDING STATEMENT -- NOTES -- References -- APPENDIX Biographies of Committee Members. |
| Record Nr. | UNINA-9910817169703321 |
| Washington, D.C., : National Academy Press, 1996 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||