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Related Experiment Videos

A portable medical record system for the elderly.

F T Sherman, L S Libow

    JAMA
    |July 6, 1979
    PubMed
    Summary

    A portable medical record system, including a bracelet and wallet card, proved useful for elderly patients with chronic illnesses. Physicians noticed the system more often in hospital outpatient settings compared to community care.

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    Area of Science:

    • Geriatrics
    • Health Informatics
    • Patient Safety

    Background:

    • Elderly patients with chronic illnesses often require ongoing medical management.
    • Effective communication of patient medical information is crucial for continuity of care.
    • Portable medical record systems aim to improve accessibility of patient data.

    Purpose of the Study:

    • To evaluate the utility of a portable medical record system (bracelet and wallet card) for ambulatory, chronically ill, older patients.
    • To compare the system's recognition rate by physicians in different healthcare settings.

    Main Methods:

    • A portable medical record system was provided to two groups of elderly patients with chronic conditions.
    • Group 1: 23 patients discharged from a skilled nursing facility into community care.
    • Group 2: 24 patients attending an acute general teaching hospital outpatient department.
    • Biweekly follow-up calls and physician discussions assessed system usefulness.

    Main Results:

    • Physicians noticed the bracelet in 46% and the wallet card in 28% of patient visits.
    • Group 2 physicians (outpatient department) recognized the system more frequently than Group 1 physicians (community care).
    • The system demonstrated utility in non-emergency healthcare encounters.

    Conclusions:

    • Portable medical record systems can be beneficial for managing elderly patients with chronic conditions.
    • Healthcare setting significantly impacts the visibility and recognition of these systems.
    • Further research is needed to optimize the design and implementation of portable medical records for the elderly.

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