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System Analysis of Ambulatory Care in Selected Countries - With Special Concern for Computer Support (Paperback)
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System Analysis of Ambulatory Care in Selected Countries - With Special Concern for Computer Support (Paperback)
Series: Lecture Notes in Medical Informatics, 29
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The Working Group 5 of the International Medical Informatics
Associa tion (IMIA) is dedicated to information systems in primary
care with special emphasis on computer systems in the doctor's
office. Accord ingly, a conference was held in Hannover in 1980
where the first ap proaches were described and experiences in
system analysis, system construction and evaluation were discussed
(Rienhoff, O. and Abrams, M.E. (eds.): The Computer in the Doctor's
Office, North-Holland, Amsterdam: 1980). Computer hardware and
software development has been rapid over the last years. Thus the
prerequisites for a successful support of the work of the physician
in his office have improved. But system con struction still lags
behind and the actual penetration of systems is lower than 2 % of
the doctors' offices in most countries. This applies to
industrialized countries. However, attempts are made everywhere to
improve primary care by means of modern information technology.
Information systems depend upon the real environment into which
they are placed: administrative procedures govern priorities and
procedures in doctor's office computers, possibilities to defray
cost upon the various carriers or the patients have a great
influence on the propagation of systems. Furthermore, various
procedures of accounting or re-imbursement may lead to a
facilitation or to a delay of the in troduction of systems. The
'art of medical practice' has reached a comparable standard within
at least the industrialized countries."
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