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Case Study 案例研究
IF 3.2 3区 医学 Q2 HEALTH POLICY & SERVICES Pub Date : 1999-06-01 DOI: 10.1177/183335839902900214
Jeri A. Logemann
Jeri A. Logemann, PhD, and Peter J. Kahrilas, MD Article abstract-A patient with medullary infarct recovered swallowing at 45 months after stroke by using a series of pharyngeal swallow maneuvers. Each maneuver effected quantifiable changes in specific elements of the pharyngeal swallow. The success of these maneuvers is the basis for the conceptualization of the pharyngeal swallow as a cluster of closely coordinated neuromuscular actions which are independently modifiable, rather than a single event.
Jeri a . Logemann博士和Peter J. Kahrilas医学博士文章摘要:一名髓质梗死患者在中风后45个月通过一系列咽部吞咽动作恢复吞咽。每次操作对咽咽的特定成分都产生了可量化的变化。这些动作的成功是咽吞咽作为一组密切协调的神经肌肉动作的概念的基础,这些动作是独立可修改的,而不是一个单一的事件。
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引用次数: 0
On Your Behalf 以你的名义
IF 3.2 3区 医学 Q2 HEALTH POLICY & SERVICES Pub Date : 1999-06-01 DOI: 10.1177/183335839902900203
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引用次数: 0
An Invitation to Discuss and Debate 邀请讨论和辩论
IF 3.2 3区 医学 Q2 HEALTH POLICY & SERVICES Pub Date : 1999-06-01 DOI: 10.1177/183335839902900206
Kerin Robinson
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引用次数: 0
W3 and Me W3和我
IF 3.2 3区 医学 Q2 HEALTH POLICY & SERVICES Pub Date : 1999-06-01 DOI: 10.1177/183335839902900213
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引用次数: 0
Towards an Electronic Patient Record 迈向电子病历
IF 3.2 3区 医学 Q2 HEALTH POLICY & SERVICES Pub Date : 1999-06-01 DOI: 10.1177/183335839902900209
M. Hardy
The 15th annual Towards an Electronic Patient Record (TEPR) conference was organised by the Medical Records Institute (USA) and held 1-6 May at the Orlando Conference Center, Florida. The Center is enormous approximately 1.6km (l mile) long. The conference had up to 14 concurrent streams. The topics were wide-ranging and included: • re-engineering • transcription • security • medical terminology • identifying requirements • patient cards • selecting systems • legal issues • mental health • consumer access • speech technology • documentation • data warehousing • imaging • nursing issues • electronic signatures • IT trends • disaster recovery • cost / benefit analysis • user acceptance • telehealth • confidentiality and • implementation of electronic patient records. There were approximately 125 vendors' exhibits. Computer vendors showing their versions of the electronic patient record or associated hardware were in the majority. It was difficult to choose which sessions to attend. The breaks were the only common times in the program. Sometimes it was a matter of attending a session for a few minutes and trying to work out if it was going to be worthwhile. If it didn't look like the session would be informative, then it was a matter of sorting out if there was another to attend without walking in half way through the presentation. The Visionary Players entertained at the opening session. The Players did not actually meet each other before the conference. They developed the performance using email and telephone. The performance's Fiddler on the Roof theme featured songs that told the story of a clinician and his staff going through the stages required to successfully implement an electronic medical record (EMR). The session was very well done and informative as well as amusing. The performance was recorded and can be viewed at http://www.tepr.com/webcast The Clinical Documentation Challenge was a session where eight vendors of various EMR systems were invited to participate. The aim of the challenge was to show the audience how each system might handle the same information. Participants were given a limited amount of information before the Challenge. At the session a 'patient' presented her symptoms. Each vendor was given 10 minutes (which was strictly monitored) to show how their system could capture and display the information. The demonstration was interesting and enlightening. Free text versus structured data,
第15届年度电子病历(TEPR)会议由美国医疗记录研究所组织,于5月1日至6日在佛罗里达州奥兰多会议中心举行。该中心巨大,长约1.6公里(1英里)。会议有多达14个并发流。主题很广泛,包括:•重新设计•转录•安全•医学术语•识别要求•患者卡•选择系统•法律问题•心理健康•消费者访问•语音技术•文档编制•数据仓库•成像•护理问题•电子签名•IT趋势•灾难恢复•成本/效益分析•用户接受度•远程保健•保密性和•电子患者记录的实施。大约有125家供应商参展。展示他们的电子病历或相关硬件版本的电脑供应商占多数。很难选择参加哪些会议。休息是节目中唯一常见的时间。有时只是参加几分钟的会议,然后试着弄清楚它是否值得。如果这个会议看起来不像会提供信息,那么就需要考虑是否有另一个会议可以参加,而不是在演示进行到一半的时候中途打断。有远见的玩家们在开幕式上进行了娱乐。在会议之前,球员们实际上并没有见过面。他们利用电子邮件和电话开发了表演。演出的主题是屋顶上的小提琴手,歌曲讲述了一位临床医生和他的工作人员成功实施电子病历(EMR)所需的各个阶段的故事。这次会议做得很好,内容丰富,也很有趣。临床文件挑战是一项会议,邀请了八家不同电子病历系统的供应商参加。挑战的目的是向观众展示每个系统如何处理相同的信息。在挑战之前,参与者只获得了有限的信息。在会议上,一个“病人”提出了她的症状。每个供应商有10分钟的时间(这是严格监控的)来展示他们的系统如何捕获和显示信息。演示既有趣又有启发性。自由文本与结构化数据,
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引用次数: 1
President's Report 总统的报告
IF 3.2 3区 医学 Q2 HEALTH POLICY & SERVICES Pub Date : 1999-06-01 DOI: 10.1177/183335839902900201
J. Craig
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引用次数: 0
Branch Reports 部门报告
IF 3.2 3区 医学 Q2 HEALTH POLICY & SERVICES Pub Date : 1999-06-01 DOI: 10.1177/183335839902900215
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引用次数: 0
Kay Bonello Kay Bonello
IF 3.2 3区 医学 Q2 HEALTH POLICY & SERVICES Pub Date : 1999-06-01 DOI: 10.1177/183335839902900212
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引用次数: 0
President's Report 总统的报告
IF 3.2 3区 医学 Q2 HEALTH POLICY & SERVICES Pub Date : 1999-03-01 DOI: 10.1177/183335839902900101
J. Craig
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引用次数: 0
Progressing the Health Information Management and Information Technology Agenda 推进卫生信息管理和信息技术议程
IF 3.2 3区 医学 Q2 HEALTH POLICY & SERVICES Pub Date : 1999-03-01 DOI: 10.1177/183335839902900108
Developments and policy direction at a national level may seem far removed from the day-to-day practice of health information management. But there are lots of examples of a national approach to many of the initiatives which we now accept as part of our daily work (e.g., casemix funding, ICD-10-AM, the National Health Information Model and the National Health Data Dictionary). Many of these can be attributed to Commonwealth and State and Territory Governments working collaboratively with expert committees to achieve change or establish a program of innovation. More recently, Australian Health Ministers have established the National Health Information Management Advisory Council (NHIMAC) to bring together private and public sector expertise to progress the health information management and information technology agenda nationally.
国家一级的发展和政策方向似乎与卫生信息管理的日常实践相去甚远。但是,对于我们现在作为日常工作一部分接受的许多倡议(例如,病例混合供资、ICD-10-AM、国家卫生信息模型和国家卫生数据词典),有许多国家办法的例子。其中许多可以归因于联邦和州和地区政府与专家委员会合作,以实现变革或建立创新计划。最近,澳大利亚卫生部长们设立了国家卫生信息管理咨询委员会(NHIMAC),以汇集私营和公共部门的专门知识,在全国范围内推进卫生信息管理和信息技术议程。
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引用次数: 0
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Health Information Management Journal
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