The Development of On-Line History-Taking Systems in Antenatal Care

The main purpose of the first antenatal visit (booking visit) is to obtain a full history. This information is used to assess risk and plan further management. We have developed an on-line microcomputer system to obtain and reproduce this antenatal »booking« history. The study was designed to provide a formal evaluation of these programs by comparing the traditional and computerised methods. A cross-over study showed that the computer provided a much more complete history with an average of 16 additional items. Further analysis showed that much of this information was of such importance as to warrant specific action on the part of the clinician. Little extra time was required to obtain this improvement in detail and a high degree of consumer acceptance was recorded.

Hauptziel der ersten pränatalen Vorsprache (Erstvisite) ist es, eine komplette Krankengeschichte zu erhalten. Diese Information wird dazu benutzt, um Risiken festzustellen und die weitere Behandlung zu planen. Wir haben ein On-line-Microcomputersystem entwickelt, um diese pränatale Vorgeschichte zu erhalten und zu reproduzieren. Die Studie wurde geplant, um eine formale Auswertung dieser Programme durch Vergleich der konventionellen und der Computermethoden zu ermöglichen. Eine Cross-over-Studie zeigte, daß der Computer eine weitaus vollständigere Krankengeschichte mit durchschnittlich 16 zusätzlichen Posten lieferte. Eine weitere Analyse zeigte, daß ein Großteil dieser Informationen so bedeutungsvoll war, daß ein besonderer Einsatz von Seiten des Klinikers erforderlich wurde. Nur geringer zusätzlicher Zeitaufwand war erforderlich, um diese Verbesserung zu erreichen, und eine sehr positive Einstellung der Verbraucher wurde festgestellt.

Key-Words

Obstetrics - Antenatal Care - Medical History Taking - On-line Data Acquisition - Microcomputer

Schlüssel-Wörter

Geburtshilfe - pränatale Versorgung - Krankengeschichtserhebung - On-line-Datenerfas-sung - Microcomputer

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