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An informatics-based chronic disease practice: case study of a 35-year computer-based longitudinal record system

R A Nordyke1, C A Kulikowski

  • 1Pacific Health Research Institute, Honolulu, HI, USA.

Journal of the American Medical Informatics Association : JAMIA
|February 7, 1998
PubMed
Summary

This case study demonstrates how a 35-year informatics-based practice for chronic thyroid disease management can integrate patient care, research, and education. Computerized medical records, utilizing physician worksheets, enable data analysis for improved clinical practice and medical education.

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Area of Science:

  • Medical Informatics
  • Endocrinology
  • Health Services Research

Background:

  • A 35-year informatics-based subspecialty practice focused on chronic thyroid disease management is presented.
  • Longitudinal medical information organization is crucial for integrating patient care, clinical research, and education.

Purpose of the Study:

  • To present a paradigm for organizing longitudinal medical information.
  • To demonstrate the value of computerized medical records in chronic disease management and medical education.

Main Methods:

  • Utilizing a structured, computerized medical record system since 1972.
  • Employing physician-completed worksheets during patient encounters for data capture.
  • Analyzing patient data to answer questions about chronic conditions and therapeutic interventions.

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Main Results:

  • The informatics-based practice successfully integrated patient care, research, and education over 35 years.
  • Computerized records facilitated analysis of patient groups and therapeutic effects.
  • The system served as a valuable tool for medical education on clinical practice nuances.

Conclusions:

  • Computerized medical records can be an integral part of medical practice, not merely a novelty.
  • This informatics-based model offers a sustainable approach to managing chronic diseases and advancing medical knowledge.