診療内科における病歴データベースの研究 : 作成と基本項目の分析

概要

論文の詳細を見る
In order to study the meaning of a data base (DB) of medical records in Psychosomatic Medicine, computerized DB of discharge summaries was developed from the mark-card system which had been used in our department for many years. The DB includes many items such as name, gender, age, diagnoses and chief complaints. The process of developing it revealed some problems, which were divided into two groups, that is, the problems concerning its contents and its management. In particular, the classification of psychosomatic disorders is considered to be one of the most important problems. After developing the DB, we analyzed the basic items of 1,417 inpatients who had been admitted to our ward for the first time from 1974 to 1985. Common diagnoses in these patients were bronchial asthma (158 cases), eating disorder (152 cases), irritable bowel syndrome (140 cases) and so forth. In terms of residential areas, more patients with some diseases like eating disorder, had come from outside than inside Fukuoka Prefecture, where our hospital is located, as these diseases are considered difficult to treat by local general physicians. Treatments frequently applied to deal with patients included medical drugs (775 cases), interviews (734 cases), autogenic training (569 cases) and others. Interestingly, patients treated with transactional analysis (including psychoanalysis) were decreasing and those with behabior therapy were increasing, from the end of 1970's to the beginning of 1980's. The results of analyzing ev en the basic items clarified objectively some of the clinical roles that had been played by our department. This fact is considered to show the importance of developing a DB of medical records. Many issues, including relationship between the DB and the total information system of a hospital, still remain to be studied, some of which must be solbved by Japanese Society of Psychosomatic Medicine.
日本心身医学会の論文
1990-02-01

診療内科における病歴データベースの研究 : 作成と基本項目の分析

スポンサーリンク

概要

著者

関連論文

スポンサーリンク