Construction of a Support System for Regional Home Dental Care using Computer Network

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Niigata Prefectural Government and Niigata Dental Association (NDA) have been doing a project of visiting dental care for the elderly at home who have difficulties in going to the dental office since 1989. To do more efficient and safer visiting dental care, construction of a support system using computer networks has been attempted, in cooperation with this project.The system consists of a medical database of the elderly at home and providing support of specialists for the dental treatment of the patient who have medical complications. A database server protected with security and a dial-up server have been installed in our hospital, and 10 dentists can access the database server through notebook computers and DoPa adapter at the patient's home. DoPa network were insufficient to use database practically at patient's home, so we developed offline database system which enable to access database at doctor's office. In visiting dental care, the database containing only dental data has limited usefulness, so integration of all medical data (medical, dental and nursing...) is necessary. In addition, it remains to improve current technical problems in the application of computers and networks to the visiting dental care.Our research project is now going to extend as NDA's "Home Dental Care Supporting Information Network"(NDAN).