ABSTRACT
The decision-making is a key event in the clinical practice. The program products with clinical decision support models in electronic data-base as well as with fixed decision moments of the real clinical practice and treatment results are very actual instruments for improving phthisiological practice and may be useful in the severe cases caused by the resistant strains of Mycobacterium tuberculosis. The methodology for gathering and structuring of useful information (critical clinical signals for decisions) is described. Additional coding of clinical diagnosis characteristics was implemented for numeric reflection of the personal situations. The created methodology for systematization and coding Clinical Events allowed to improve the clinical decision models for better clinical results.
Subject(s)
Databases, Factual , Decision Support Systems, Clinical , Precision Medicine/methods , Tuberculosis/diagnosis , Tuberculosis/drug therapy , Drug Resistance, Bacterial , Humans , Mycobacterium tuberculosis/classification , Patient Acuity , Tuberculosis/pathologyABSTRACT
The analysis of the prescriptions for bronchial asthma (BA) patients in outpatient practice was made using data base created at the Regional Fund of Obligatory Health Insurance in the Sverdlovsk region with consideration of GINA principles of BA stepped care. The real structure of prescriptions was compared with the pattern drug official list for asthma care. The cost of each BA care step was calculated on the base of the computer programs. The analysis showed low quality of BA care in outpatient practice. The created computer programs are very useful for the prescriptions structure monitoring, cost-effect analysis and pharmacotherapeutical management of the diseases.
Subject(s)
Anti-Asthmatic Agents/administration & dosage , Asthma/drug therapy , Drug Prescriptions , Adult , Anti-Asthmatic Agents/economics , Anti-Asthmatic Agents/therapeutic use , Asthma/economics , Child , Cost-Benefit Analysis , Drug Prescriptions/economics , Drug Prescriptions/standards , Drug Prescriptions/statistics & numerical data , Humans , Insurance, Pharmaceutical Services/economics , Insurance, Pharmaceutical Services/statistics & numerical data , Retrospective Studies , Russia , Treatment OutcomeABSTRACT
Expert computer systems proved their efficacy in medicine, being a useful tool of solving complicated diagnostic and therapeutic tasks. One of these is being developed in the field of gastroenterology by the therapists of the Sverdlovsk Medical Institute and mathematicians of the Mathematical and Mechanical Institute of the Ural Department of the USSR Academy of Sciences. The system operates in the language REXX and PASCAL using ES 1045 computer and is able to teach subinterns skills of gastroenterological examinations, to assess professional skills of the gastroenterologist, to consult the internist in complicated diagnostic situations.
