Cíl: Výzkumné zamerení dentální cásti Centra biomedicínské informatiky je zamereno na vývoj elektronické zdravotnické dokumentace (EHR) pro stomatologii. Úvod: Nejdríve byl zkonstruován elektronický zubní kríž DentCross, který graficky reprezentuje stomatologická data pacienta. Doplnen byl o hlasové ovládání systémem Automatic speech recognition (ASR) a modul pro syntézu hlasu (TTS). Metody: Cílem práce bylo i dosáhnout co nejvetší komplexnosti systému a jeho jistou automatizaci. Z tohoto duvodu byl doplnen o speciální záznamové medium pro onemocnení temporomandibulárního kloubu (TMD). Výsledky: Po zkušenostech se starší verzí byla znalostní báze (KB) pro TMD jinak strukturována. Bylo použito klasifikacní diagnostické schéma dle American Academy of Orofacial Pain (AAOP). KB byla vytvorena v aplikaci MUDR KB Editor. Na techto základech byla vytvorena relacní databáze a samotná uživatelská záznamová aplikace v programech MUDR EHR a MUDRLite. Záver: Hlavní výhodou je ovšem stanovení pravdepodobné diagnózy onemocnení (AAOP delení) systémem (tzv. „custom“ komponentou) na základe typických dat zaznamenaných do elektronického formuláre pri vyšetrení. Pro realizaci samotné komponenty byl použit vývojový nástroj MS Visual Studio.NET 2003. Komponenta je naprogramovaná v jazyku C].
Background: The research goal of the Dental segment of the Centre of Biomedical Informatics is focused on the electronic health record (EHR) development for dentistry. Objectives: At the beginning there has been constructed an electronic dental cross "DentCross", which was representing patients dental data in the graphical form. It has been completed with the system of the automatic speech recognition (ASR) and voice synthesis module (TTS). Methods: The main goal of this work was to reach the high entirety of the system and its automatization. For this reason it has been completed with the special record medium for the temporomandibular disorders (TMD). Results: Concerning the experience with the old version the knowledge database (KB) for TMD has been structured differently. A classification diagnostic schema by the American Academy of Orofacial Pain (AAOP) has been used. The KB has been created in the MUDR KB Editor application. On this basis a relational database has been constructed and a user interface for data collection based on MUDR and MUDRLite EHR systems was developed. Conclusions: The main advantage of this system is determination of probable diagnosis of the disease (AAOP) by the system ("custom" component). It is based on the characteristic data, which have been recorded in the electronic form after the investigation. For the creation of the component of its alone MS Visual Studio.NET 2003 development tool has been used. The whole component is programmed in C] language.
- Klíčová slova
- poruchy temporomandibulárního kloubu, DentCross, elektronická zdravotnická dokumentace, klasifikace AAOP, MUDR EHR, MUDRLite, MUDR KB Editor,
- MeSH
- chorobopisy - počítačové systémy statistika a číselné údaje trendy využití MeSH
- elektronické zdravotní záznamy statistika a číselné údaje trendy využití MeSH
- financování organizované MeSH
- formuláře a záznamy - kontrola a vedení metody statistika a číselné údaje využití MeSH
- lidé MeSH
- stomatologie metody statistika a číselné údaje trendy MeSH
- Check Tag
- lidé MeSH
U Hrvatskoj je obiteljska medicina bila prvi privatizirani segment sustava zdravstvene zaštite. Zasad je privatizirano oko 84 % ordinacija obiteljske medicine dok je preostalih 16 % ostalo u sastavu domova zdravlja. Da bismo procijenili status informatizacije ordinacija obiteljske medicine, anketirali smo liječnike na specijalizaciji iz obiteljske medicine za vrijeme njihovog poslijediplomskog studija na Medicinskom fakultetu Sveučilišta u Zagrebu u školskoj godini 2004/05. Uzorak se sastojao od 159 liječnika. Pokazalo se da neki oblik informacijskog sustava postoji u 62 % ordinacija u zakupu, 42 % ordinacija u domovima zdravlja te 91 % potpuno privatnih ordinacija obiteljske medicine. Svoj postojeći informacijski sustav liječnik obiteljske medicine prvenstveno upotrebljava za administrativne svrhe: izvještavanje, preskripcije, bolovanja, uputnice i račune. Što se tiče medicinskog dijela rada, elektronički medicinski zapis koristi oko 50 % liječnika, istraživanja, koja se temelje na podacima pohranjenim u e-formatu, provodi oko 31 % liječnika, dok oko 35 % koristi podatke iz sustava za evaluaciju svog rada. Bibliografske baze podataka i elektroničke časopise čita 86 % liječnika iz privatnih ordinacija, 79 % onih koji rade u ordinacijama obiteljske medicine unutar domova zdravlja te 60 % liječnika u ordinacijama u zakupu. Zadovoljstvo s postojećim informacijskim sustavima nije veliko (19 %). Informacijski sustavi naime samo parcijalno zadovoljavaju informacijske potrebe liječnika. 32 % smatra da uz pomoć postojećeg informacijskog sustava dobiva dovoljno informacija, 40 % smatra da im je posao postao učinkovitiji, a 25 % da su i njihovi pacijenti zadovoljniji što njihov liječnika ima kompjutorizirani informacijski sustav u svojoj ordinaciji. S obzirom na tri tipa prakse može se reći da su mlađi doktori, koji rade unutar domova zdravlja, manje zadovoljni svojim informacijskim sustavom nego li doktori iz privatnih ordinacija ili ordinacija u zakupu. Zaštita podatka u sustavu se provodi pomoću zaporke, fizičkom zaštitom računala te svakodnevnim arhiviranjem podatka.
Family practice was the first privatized part of the health care system in Croatia. Recently, 84 % of family practices are privatized. Other 16% of them left within health centers. In order to assess current status of use of the information and communication technology (ICT) in family practice, physicians specializing in the family medicine, being also the postgraduate students of the University of Zagreb, School of Medicine in the year 2004/05, have been surveyed. The sample consisted of 159 physicians. Some kind of information system (IS) exists in 62 % of family practices under lease, 42 % within health centers, and 91 % of completely private offices. Having IS in their offices, physicians use it primarily for administration: reporting, prescriptions, sick leaves, referrals and for billing. Usage of ICT in medical work, electronic medical records, was found at about 50 % of physicians. Doing research based on information stored in e-format, is conducting by 31 % of physicians. Based on e-information 35 % of physicians evaluate their work. About using e-sources of medical knowledge (bibliographic data bases, e-journals): 86 % physicians from private offices, 79% physicians working within health centers, 60 % physicians from offices under lease. Satisfaction with current information system is small (19 %). Their information needs are covered partially. 32 % of physicians said they can get enough information by using their information system. 40 % of physicians feel that ICT gave more efficiency to their work, and 25 % of physicians feel their patients are more satisfied since the IS was put into function. Considering different types of practices – young physicians working in health centers are less satisfied with their ISs than the other two groups of physicians coming from private practice. Data security was practiced by using a password, physical protection, and by daily archiving of data .
- MeSH
- chorobopisy - počítačové systémy statistika a číselné údaje využití MeSH
- elektronická pošta statistika a číselné údaje využití MeSH
- internet statistika a číselné údaje využití MeSH
- lidé MeSH
- počítače statistika a číselné údaje využití MeSH
- počítačová gramotnost MeSH
- postoj k počítačům MeSH
- rodinní lékaři statistika a číselné údaje MeSH
- Check Tag
- lidé MeSH
- Geografické názvy
- Chorvatsko MeSH
