Informing patients: a guide for providing patient health information.
To understand and address patients' need for information surrounding ambulatory-care visits.
Author(s): Tang, P C, Newcomb, C
DOI: 10.1136/jamia.1998.0050563
To understand and address patients' need for information surrounding ambulatory-care visits.
Author(s): Tang, P C, Newcomb, C
DOI: 10.1136/jamia.1998.0050563
To measure the effect of computer-based outpatient prescription writing by internal medicine physicians on pharmacist work patterns.
Author(s): Murray, M D, Loos, B, Tu, W, Eckert, G J, Zhou, X H, Tierney, W M
DOI: 10.1136/jamia.1998.0050546
Entity--attribute--value (EAV) tables form the major component of several mainstream electronic patient record systems (EPRSs). Such systems have been optimized for real-time retrieval of individual patient data. Data warehousing, on the other hand, involves cross-patient data retrieval based on values of patient attributes, with a focus on ad hoc query. Attribute-centric query is inherently more difficult when data are stored in EAV form than when they are stored conventionally. The [...]
Author(s): Nadkarni, P M, Brandt, C
DOI: 10.1136/jamia.1998.0050511
Recent developments in medical informatics research have afforded possibilities for great advances in health care delivery. These exciting opportunities also present formidable challenges to the implementation and integration of technologies in the workplace. As in most domains, there is a gulf between technologic artifacts and end users. Since medical practice is a human endeavor, there is a need for bridging disciplines to enable clinicians to benefit from rapid technologic advances [...]
Author(s): Patel, V L, Kaufman, D R
DOI: 10.1136/jamia.1998.0050493
An evaluation of the cognitive processes used in the translation of a clinical guideline from text into an encoded form so that it can be shared among medical institutions.
Author(s): Patel, V L, Allen, V G, Arocha, J F, Shortliffe, E H
DOI: 10.1136/jamia.1998.0050467
The Arizona Telemedicine Program was established in July 1996 by the Arizona state legislature. The organizational center for the program is the Arizona Health Sciences Center in Tucson. Key goals for the program include increased access to specialty services for rural, underserved populations; development of cost-effective telemedicine services; and expansion of opportunities for education of health professionals in rural areas. The program provides several levels of services based on both [...]
Author(s): McNeill, K M, Weinstein, R S, Holcomb, M J
DOI: 10.1136/jamia.1998.0050441
The authors describe a framework, based on the Ogden-Richards semiotic triangle, for understanding the relationship between the Unified Medical Language System (UMLS) and the source terminologies from which the UMLS derives its content. They pay particular attention to UMLS's Concept Unique Identifier (CUI) and the sense of "meaning" it represents as contrasted with the sense of "meaning" represented by the source terminologies. The CUI takes on emergent meaning through linkage [...]
Author(s): Campbell, K E, Oliver, D E, Spackman, K A, Shortliffe, E H
DOI: 10.1136/jamia.1998.0050421
Informatics and information technology hold the promise of a consumer-centered health enterprise--one that provides quality care at a cost society is willing to pay; one where need-based, adaptive, competency-based learning results in cost-effectiveness of health education; one where team-based health and learning on demand, coupled with monitoring of process outcomes and network access to expertise, guarantee quality. The barriers to this promise are the professional guilds, the cross-subsidies that support [...]
Author(s): Stead, W W
DOI: 10.1136/jamia.1998.0050412
Since the 1970s, it has been clear that the health community needs to develop a health care system that matches a person's needs with the expertise and technology to address those needs. The logical solution is a multi-tiered system. In such a system, physicians would provide second- and third-tier services and other health professionals would provide first- and second-tier services. Medical informatics should take on the challenge of supporting the [...]
Author(s): Schoolman, H M
DOI: 10.1136/jamia.1998.0050401
The 1998 Scientific Symposium of the American College of Medical Informatics (ACMI) was devoted to developing visions for the future of health care and biomedicine and a strategic agenda for health and biomedical informatics in support of those visions. This symposium focus was prompted by the many major changes currently underway in health care delivery, education, and research, as well as in our health and biomedical enterprises, and by the [...]
Author(s): Greenes, R A, Lorenzi, N M
DOI: 10.1136/jamia.1998.0050395