DEVELOPMENT OF A COMPREHENSIVE PATIENT MANAGEMENT SYSTEM

这一快速通道方案开发了一名计算机化的综合患者 加强和监控患者评估的管理系统(CPMS)， 医生过程，以及医患互动。CPMS 组件包括患者卡雷尔、医生工作站和 服务器/数据库。灵活、可扩展的结构将支持 无需重新编程即可开发和完善临床策略。 第一阶段的目标是：1)制作患者评估的原型 模块，该模块直接捕获患者有关症状和 心理社会变量，确定暂时性问题和措施 生活质量。界面将简单、直观、易用 触摸屏，消除了键盘或鼠标的使用。CPMS “智能地”通过问题集进行分支，简化了整个过程 并最大限度地提高与患者的相关性。数据将在问题中呈现- 面向临床的报告格式，提高医生效率和 激励参与。2)开发试点应用程序 胃食道反流与心理社会状态评估。一位专家 专家小组和患者焦点小组(FG)将对问题进行批评。3) 严格测试识别症状和暂时性问题的准确性。 患者FG将接受CPMS评估和医生FG的检查 已收到CPMS报告以供审查的成员。初级阶段 I里程碑是对CPMS评估过程的耐心接受和 医生对临床准确性和实用性的批评。 建议的商业应用： 该软件系统旨在增强患者评估和 医生流程和捕获流程及结果衡量标准。一次 可行性已经确立，商业价值将源于使用 作为对照试验的结果工具，并作为一种机制 并在实践环境中衡量治疗过程和患者结果。

This Fast Track proposal develops a computerized Comprehensive Patient Management System (CPMS) to enhance and monitor patient assessment, physician process, and the physician-patient interaction. CPMS components include a Patient Carrel, Physician Workstation and Server/Database. A flexible, scaleable structure will support developing and refining the clinical strategy without re-programming. Phase I Aims are to: 1) Produce a prototype of the patient assessment module, which directly captures patient input regarding symptoms and psychosocial variables, identifies provisional problems, and measures quality of life. The interface will be simple and intuitive and use touch screens to eliminate use of keyboards or mice. CPMS "intelligently" branches through questionsets, abbreviating the process and maximizing relevance to patients. Data will be presented in problem- oriented, clinical report format, improving physician efficiency and motivating participation. 2) Develop pilot applications for gastroesophageal reflux and assessment of psychosocial status. An expert panel and patient focus groups (FG) will critique questions. 3) Critically test accuracy identifying symptoms and provisional problems. Patient FG will undergo CPMS evaluation and examination by physician FG members who have been given the CPMS report for review. Primary Phase I milestones are patient acceptance of the CPMS assessment process and physician critiques of clinical accuracy and utility. PROPOSED COMMERCIAL APPLICATION: This software system is designed to enhance patient assessment and physician process and capture process and outcome measures. Once feasibility has been established, commercial value will stem from use as an outcome tool in controlled trials and as a mechanism to enhance and measure treatment process and patient outcomes in practice settings.