IMPROVING ADHD CARE WITH INFORMATION TECHNOLOGY

注意缺陷/多动障碍（ADD/ADHD）一直是儿童中最常见的显著神经行为问题，尽管ADD/ADHD的诊断和治疗仍然存在争议。本提案研究部分的具体目的是在市中心儿科初级保健中心使用基于计算机的信息系统，通过以下方式提高疑似注意力缺陷障碍儿童的诊断和治疗质量：1)使用标准化表格收集来自家长、教师和医生的详细信息；2)使用扫描仪提取表单数据，不破坏现有的临床工作流程，提供实时制表，并允许将数据传输到基于计算机的患者记录中；3)支持儿童的诊断和转诊符合国家指南和DSM-IV诊断标准；4)确定需要转诊给非初级保健医生的合并症；5)提高提供者和家长对评估儿童的决策过程和随访的满意度。

Attention-Deficit/Hyperactivity Disorder (ADD/ADHD) continues to be the most common significant neurobehavioral problem in children, although the diagnosis and treatment of ADD/ADHD remain controversial. The specific aims of the research component of this proposal are to use a computer-based information system in an inner-city pediatric primary care center to improve the quality of diagnosis and treatment of children with suspected attention-deficit disorders by: 1) Using standardized forms to gather detailed information from parents, teachers, and physicians; 2) Using scanners to extract form data in a way that does not disrupt existing clinical workflow, offers real-time tabulation, and allows transfer of data into a computer-based patient record; 3) Supporting the diagnosis and referral of children in compliance with national guidelines and DSM-IV diagnostic criteria; 4) Identifying co-morbid conditions that require referral to non-primary care physicians; and 5) Increasing provider and parent satisfaction with the decision making process and follow-up of evaluated children.