Client-server, distributed database strategies in a health-care record system for a homeless population.
Objective: To design and develop a computer-based health-care record system to address the needs of the patients and providers of a homeless population.Design: A computer-based health-care record system being developed for Boston's Healthcare for the Homeless Program (BHCHP) uses client-server techn...
| Publicado en: | Journal of the American Medical Informatics Association Vol. 1; no. 2; pp. 186 - 199 |
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| Autores principales: | , , , |
| Formato: | research Journal Article |
| Publicado: |
Oxford University Press / USA
Mar1994
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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=66267294&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 66267294 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10675027 FZ9 jtl: Journal of the American Medical Informatics Association issn: 10675027 maglogo: N pubinfo: dt: Mar1994 vid: 1 iid: 2 pid: 622 pub: Oxford University Press / USA artinfo: ui: 66267294 66267294 NLM7719799 66267294 10.1136/jamia.1994.95236148 NLM7719799 PMC116196 66267294 ppf: 186 ppct: 13 formats: tig: atl: Client-server, distributed database strategies in a health-care record system for a homeless population. aug: au: Chueh, Henry C Barnett, G Octo Chueh, H C Barnett, G O affil: Affiliation of the authors: Harvard Medical School and Massachusetts General Hospital, Boston, MA sug: subj: Medical Records Information Systems Homeless Persons Human Data Security Massachusetts Migrants Validation Studies Comparative Studies Evaluation Research Multicenter Studies Clinical Assessment Tools Social Readjustment Rating Scale ab: Objective: To design and develop a computer-based health-care record system to address the needs of the patients and providers of a homeless population.Design: A computer-based health-care record system being developed for Boston's Healthcare for the Homeless Program (BHCHP) uses client-server technology and distributed database strategies to provide a common medical record for this transient population. The differing information requirements of physicians, nurses, and social workers are specifically addressed in the graphic application interface to facilitate an integrated approach to health care. This computer-based record system is designed for remote and portable use to integrate smoothly into the daily practice of providers of care to the homeless. The system uses remote networking technology and regular phone lines to support multiple concurrent users at remote sites of care.Results: A stand-alone, pilot system is in operation at the BHCHP medical respite unit. Information on 129 patient encounters from 37 unique sites has been entered. A full client-server system has been designed. Benchmarks show that while the relative performance of a communication link based upon a phone line is 0.07 to 0.15 that of a local area network, optimization permits adequate response.Conclusion: Medical records access in a transient population poses special problems. Use of client-server and distributed database strategies can provide a technical foundation that provides a secure, reliable, and accessible computer-based medical record in this environment. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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