Evaluation of computer-based medical histories taken by patients at home.

TitleEvaluation of computer-based medical histories taken by patients at home.
Publication TypeJournal Article
Year of Publication2012
AuthorsSlack WV, Kowaloff HB, Davis RB, Delbanco T, Locke SE, Safran C, Bleich HL
JournalJ Am Med Inform Assoc
Volume19
Issue4
Pagination545-8
Date Published2012 Jul-Aug
ISSN1527-974X
KeywordsAdult, Aged, Attitude of Health Personnel, Attitude to Computers, Attitude to Health, Electronic Health Records, Female, Humans, Internet, Male, Massachusetts, Medical History Taking, Middle Aged, Pilot Projects, Primary Health Care, Surveys and Questionnaires
Abstract

The authors developed a computer-based general medical history to be taken by patients in their homes over the internet before their first visit with their primary care doctor, and asked six doctors and their participating patients to assess this history and its effect on their subsequent visit. Forty patients began the history; 32 completed the history and post-history assessment questionnaire and were for the most part positive in their assessment; and 23 continued on to complete their post-visit assessment questionnaire and were for the most part positive about the helpfulness of the history and its summary at the time of their visit with the doctor. The doctors in turn strongly favored the immediate, routine use of two modules of the history--the family and social histories--for all their new patients. The doctors suggested further that the summaries of the other modules of the history be revised and shortened to make it easier for them to focus on clinical issues in the order of their preference.

DOI10.1136/amiajnl-2011-000580
Alternate JournalJ Am Med Inform Assoc
PubMed ID22237866
PubMed Central IDPMC3384115
Grant ListR01 LM008255 / LM / NLM NIH HHS / United States
1 R01 LM008255-01A1 / LM / NLM NIH HHS / United States
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