Computer-aided management of hypertensive patients.
A computerized system has been developed which potentially enables a single expert physician to monitor a large number of hypertensive patients being seen at distant locations. The patients may receive their care directly from primary care physicians or nurse-physician surrogates. Primary care physi...
| Publicado en: | Medical Care Vol. 13; no. 12; pp. 1044 - 1055 |
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| Autores principales: | , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Dec1975
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=113761941&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 113761941 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00257079 21B jtl: Medical Care issn: 00257079 maglogo: N pubinfo: dt: Dec1975 vid: 13 iid: 12 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 113761941 113761941 NLM1195905 113761941 10.1097/00005650-197512000-00006 NLM1195905 113761941 ppf: 1044 ppct: 11 formats: tig: atl: Computer-aided management of hypertensive patients. aug: au: Wassertheil-Smoller, Sylvia Bell, Bertrand Blaufox, M Donald Wassertheil-Smoller, S Bell, B Blaufox, M D affil: ∗Associate Professor, Department of Community Health, Albert Einstein College of Medicine, Bronx, N. Y. 10461 ∗∗Associate Professor of Medicine, Albert Einstein College of Medicine †Associate Professor of Medicine and Radiology, Albert Einstein College of Medicine sug: subj: Computers and Computerization Information Systems Hypertension Therapy Medical Records Online Systems Privacy and Confidentiality Evaluation Research Human Nurses Statistics and Numerical Data Physicians Statistics and Numerical Data Validation Studies Comparative Studies Multicenter Studies Scales ab: A computerized system has been developed which potentially enables a single expert physician to monitor a large number of hypertensive patients being seen at distant locations. The patients may receive their care directly from primary care physicians or nurse-physician surrogates. Primary care physicians can use the same data bank to monitor their own panels of patients. These goals are accomplished through a special purpose, interactive programming language which can be used to perform sophisticated data retrieval along different complexes of parameters. The physician is able to query the computer, via a terminal, about any group of patient he defines and have displayed to him the clinical data requested. The system is open-ended, enabling one query to lead to another. Four hundred and ninety-three patients have been entered into this program so far, including 29 patients with diastolic pressures greater than 115, 92 with diastolic pressures of 104 to 114, and 372 with diastolics of 90 to 104. Among patients who have been on therapy for at least six weeks, 80 per cent were at goal blood pressure. Ten to 14 weeks after therapy was initiated, 69 per cent of all patients in the program were at goal blood pressure. The system provides a useful means of monitoring a large hypertensive population of patients. Such a system can result in a more efficient utilization of medical personnel and can bring the consultative services of highly trained specialists to larger segments of the population. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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