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Urological history-taking and management recommendations by microcomputer.
E S Glen1, D R Small, L M Morrison
1Walton Urological Teaching and Research Center, Southern General Hospital, Glasgow.
British Journal of Urology
|February 1, 1989
Summary
A new computer system efficiently gathers urological patient histories, improving diagnostic work-up and reducing wait times. This automated approach ensures comprehensive data collection for urology referrals.
Area of Science:
- Urology
- Medical Informatics
- Health Technology Assessment
Background:
- Traditional urological history taking can be time-consuming.
- Efficient patient data acquisition is crucial for timely diagnosis and treatment.
Purpose of the Study:
- To develop and evaluate a computer-based system for acquiring comprehensive urological histories.
- To assess the system's efficiency and accuracy compared to traditional methods.
Main Methods:
- An Apple microcomputer system was developed to administer up to 300 multiple-choice questions via a light pen.
- The system grouped questions into urological symptoms and complicating factors.
- A printout summarized patient history and recommended investigations for clinician and patient review.
Main Results:
- The system was evaluated in 26 patients and successfully recorded all critical information.
- In regular outpatient clinic use, 261 patients have utilized the system.
- The computer system has demonstrated a reduction in waiting times for initial appointments.
Conclusions:
- The developed computer system effectively acquires complete urological histories.
- It serves as an efficient first step in the diagnostic work-up for suitable urology referrals.
- The system has improved clinic efficiency and patient access to care.