The presented qualimetric evaluation of documentary information flow permitted one to identify some of its characteristics, single out a group of nuclear and perinuclear journals containing about 70 percent of the entire documentary flow publications on the given problem and provide recommendations on the organization and retrieval search in the reference-information fund of our country.
According to the findings of different authors somatic emergency hospitals admit about 0.3-40 percent of patients with psycho-somatic diseases: mental patients suffering from acute somatic diseases, patients with somatically conditioned mental disorders and also patients the somatic complaints of whom are manifesting symptoms of mental disease. An analysis was made of the consulting psychiatrist work at the multidisciplinary emergency hospital which had no somatopsychiatric department (SPD) in its structure. Medical care was provided to 2654 "mixed patients" with different mental disorders. Acute psychotic symptomatology was detected in 38 percent of these patients, however only 3.42 percent were transferred into mental hospitals and SPD of other hospitals. The remaining patients stayed at somatic hospital up to the end of treatment due to non-carriageable condition. Such situation considerably compicates the work of consulting psychiatrist. The optimization of curative and rehabilitative care for the patients requires efficient cooperation between consulting psychiatrist and resident physicians providing diagnosis, complex biological therapy, differentiated curative and rehabilitative regimen and also securing the rights of mental patients for confidential care in accordance with Code of medical ethics and ensuring continuous upgrading the skills of nurses and physicians of somatic hospitals.
An analysis is made of physicians' functions in all hospital departments; their significance, labour-consuming character and realization in the annual cycle of work were determined. The functional analysis of physician's performance was conducted in two directions: a study was carried out of all kinds of physician's work, its labour-consuming character and periodicity, and also of all kinds of documents he has been dealing with during a year.
The main methods of organizing the information technology for medical documentation keeping, registration and processing are considered. Suggestions are made of a new information technology which expects to make use of personal computers and is based on built-in logical trees of various medico-biological information most frequently used in the department of the given profile. A description is provided of the first version of the system which is realizing the technology on IBM PC HT/AT computer.
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