COMPUTER ALGORITHMS FOR ALCOHOL DISORDERS IN THE ELDERLY

老年人饮酒会导致或加剧常见的医疗和心理社会状况，包括心脏病、中风、跌倒和抑郁。我们建议开发和测试一种电脑化系统，以诊断老年人是否存在与酒精相关的疾病及其风险。计算机化系统(CARPS)将包括(1)机器可读问卷(酒精相关问题调查：ARPS)；(2)基于398种有害、危险和无害饮酒迹象的算法，由国家专家小组选择并在700人中进行测试；(3)将ARPS的结果与适当算法联系起来的计算机软件；以及(4)为研究参与者和提供者提供的报告。老年医学参与者和专家的重点小组将设计报告表格。我们将在健康的环境中测试鲤鱼。CARPS将是唯一可用的老年人自动化系统，使用具有临床意义的循证算法。它将在健康和社会老年环境中有用，并对涉及识别可预防和可治疗的健康问题的管理性保健组织有用。生成CARPS报告的程序将通过ASCII文件格式与其他程序交互，因此该产品还可以用于质量改进和研究以及临床护理。第二阶段将测试鲤鱼对酒精相关行为和卫生服务利用的影响。拟议的商业应用：CARPS可以用于健康环境中，在那里关注的是有效地诊断老年人的酒精使用障碍。这包括医生办公室和医疗诊所、老年中心、持续护理社区、精神科住院和门诊环境、社会工作环境、家庭保健环境和急诊科。管理保健组织和健康保险公司特别关注效率，并将发现该产品有益。鲤鱼还可用于质量改进活动和研究以及临床护理。

Alcohol use in the elderly causes or exacerbates common medical and psychosocial conditions including heart disease, stroke, falls and depression. We propose to develop and test a computerized system to diagnose presence of and risks for alcohol related conditions in the elderly. The computerized system (CARPS) will consist of (1) a machine-readable questionnaire (the Alcohol-Related Problems Survey: ARPS); (2) algorithms based on 398 indications of harmful hazardous, and non hazardous drinking selected by a national panel of Experts and tested in 700 persons; (3) computer software linking ARPS' results to appropriate algorithms; and (4) reports for study participants and providers. Focus groups of participants and experts in geriatrics will design report forms. We will test CARPS in a health setting. CARPS will be the only available automated system for the elderly that uses clinically meaningful, evidence- based algorithms. It will be useful in health and social senior settings and to managed care organizations concerned with identifying preventable and treatable health problems. The program generating CARPS reports will interface with other via an ASCII file format, so the product can also be used for quality improvement and research as well as for clinical care. Phase 2 will test CARPS' impact on alcohol-related behaviors and health services utilization. PROPOSED COMMERCIAL APPLICATION: CARPS can be used in health settings where the concern is to efficiently diagnose alcohol use disorders in the elderly. These include physicians' offices and medical clinics, senior centers, continuing care communities, psychiatric in-patient and out-patient settings, social work settings, home health care contexts, and emergency departments. Managed care organizations and health insurers are particularly concerned with efficiency and will find the product beneficial. CARPS can also be used to quality improvement activities and research as well as in clinical care.