Contributors.- I. Introduction.- 1. Information Systems for Patient Care.- 2. The Need for Automation in Health Care.- 3. Some Problems of the 1970's: A Clinical Perspective.- II. Hospital Information Systems.- 4. Hospital Information Systems As We Enter the Decade of the 80's.- 5. Evaluation of Automated Hospital Data Management Systems.- 6. Implementation of the IBM Health Care Support/Patient Care System.- 7. Representation of Medical Knowledge and PROMIS.- 8. The HELP System.- 9. Implementation of a Prototype Generalized Network Technology for Hospitals.- 10. Hospital Information Systems Planning.- 11. Towards Implementation of Successful Medical Computer Applications.- 12. The Conduct of a Health Care Systems Project.- 13. Facilities Management of Hospital Data Processing.- III. Ambulatory Care System.- 14. Automated Ambulatory Medical Record Systems in the US.- 15. Data Base Management System for Ambulatory Care.- 16. Regenstrief Medical Record System.- 17. SCAMP System.- 18. Core Record System.- 19. COSTAR System.- 20. User Satisfaction with COSTAR V.- 21. Proliferation of COSTAR-A Status Report.- 22. A COSTAR Quality Assurance Program in Private Practice.- 23. Enhancement to COSTAR.- 24. Impact of an On-Line Information System in the Medical Office.- 25. Computer-Assisted Problem-Oriented Medical Record System for Office Use.- 26. A Comprehensive Patient Care System for the Family Practice.- 27. Medical Computing, Realities for the Private Practitioner.- IV. Other Application Areas.- 28. Automated Multiphasic Health Testing.- 29. Clinical Computer Applications in Mental Health.- 30. Computers in Nursing Administration.- 31. An Information System for Oncology.- 32. Data Management Systems in Clinical Research.- 33. Computerized Medical Information Systems for Hospital Departments.- V. Evaluation.- 34. Methods for Evaluating Costs of Automated Hospital Information Systems.- 35. Information System Selection: Methods for Comparing Service Benefits.- 36. Quantifying the Cost-Benefits of Computer Dental Management Systems.
Computer technology has impacted the practice of medicine in dramatic ways. Imaging techniques provide non-evasive tools which alter the diagnostic pro cess. Sophisticated monitoring equipment presents new levels of detail for both patient management and research. In most of these high technology applica tions, the computer is embedded in the device; its presence is transparent to the user. There is also a growing number of applications in which the health care provider directly interacts with a computer. In many cases, these applications are limited to administrative functions, e.g., office practice management, loca tion of hospital patients, appointments, and scheduling. Nevertheless, there also are instances of patient care functions such as results reporting, decision support, surveillance, and reminders. This series, Computers and Medicine, will focus upon the direct use of infor mation systems as it relates to the medical community. After twenty-five years of experimentation and experience, there are many tested applications which can be implemented economically using the current generation of computers. Moreover, the falling cost of computers suggests that there will be even more extensive use in the near future. Yet there is a gap between current practice and the state-of-the-art.
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