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Biomedical subjects

J Froom

Publications and source records attributed to J Froom.

At least 91 records · Page 5Linked to original sources
PubMed1977

An integrated medical record and data system for primary care. Part 1: the age-sex register: definition of the patient population.

This is the first of series of articles which describes an integrated system for recording medical data. The age-sex register is described in detail. Uses of the register include enhanced capabilities for office management, assessment of postgraduate educational needs, outreach, audit, and research. The problems encountered with definition of the practice size are discussed. Subsequent articles will describe a classification of health problems, a diagnostic index, family folders, filing patients records by geographic location, problem-oriented medical records, encounter forms, and various record forms.

Age Factors↗
PubMed1977

An intregrated medical record and data system for primary care. Part 2: classifications of health problems for use by family physicians.

Health problems encountered in the ambulatory setting differ from those of hospitalized individuals. For that reason disease classifications of morbidity devised for inpatient categorization are not totally applicable in the ambulatory setting. Numerous classification systems have been devised to overcome this discrepancy and have enjoyed varying levels of success. The International Classification of Health Problems in Primary Care (ICHPPC) is one of the more useful for family physicians and other primary care physicians. Its hierarchical structure and compatibility with the International Classification of Diseases (ICD) permits comparative use. The history, characteristics, and uses of ICHPPC are discussed as are those of additional classification systems recently developed for other purposes. One of these, a classification of performed procedures, may be used in conjunction with ICHPPC to provide a useful record for the provider as well as facilitating the referral of health-care information to third-party payors.

Ambulatory Care↗
PubMed1977

An integrated medical record and data system for primary care. Part 3: the diagnostic index manual and computer methods and applications.

Manual and computer versions of the diagnostic of the index-E-Book are described. Methods for establisment and maintenance of both indexes are given and the relative merits of each are delineated. Uses of diagnostic indexes are presented which are appropriate to solo and group practices. The role of the diagnostic index in curriculum development within a family practice training setting is also illustrated.

Abstracting and Indexing↗
PubMed1977

An integrated medical record and data system for primary care. Part 4: Family information.

The gathering of family information has numerous advantages in a family practice setting. Methods are described which not only allow description of family structure but permit identification of each individual family member and his/her relationship to the family as a unit. The value of filing individual medical records in family folders is detailed. A functional definition of family is established and certain health-related characteristics are given. Included is comparison of family size and socioeconomic status (SES) of a family practice with census information on the total county population. Health-seeking behavior of two-person families (couples or single-parent plus child) related to SES is presented as one of many applications of recorded family information, potential for future research into the effects of family structure on morbidity is discussed.

Adolescent↗
PubMed1977

An integrated medical record and data system for primary care. Part 5: Implications of filing family folders by area of residence.

A discussion of the advantages of filing family folders by geographic location is presented in addition to several methods for determination of socioeconomic status. Advantages of current filing techniques at the University of Rochester-Highland Hospital Family Medicine Program are detailed. Examples are given of the use of such information to estimate health-care utilization as determined by factors of distance from practice, socioeconomic status, natural barriers, and family size.

Attitude to Health↗
PubMed1977

Screening during routine health assessment.

Medical charts of 189 patients receiving routine health examination were reviewed. Of the 15 evaluative procedures included, two (the physical examination and stool for occult blood) were performed by physicians; the remaining 13 were delegated to paramedical personnel and/or outside facilities. A total of 330 of 1,497 (22 percent) were found to be abnormal. Of abnormalities only 144 (44 percent) received follow-up as determined by chart audit. Physician-performed tests yielded 62 of 330 abnormal results. The rate of follow-up for physician-detected abnormalities was 58.1 percent compared to 40 percent for abnormalities found by other providers. To improve follow-up rate it is suggested that only those procedures be performed in which early detection significantly alters morbidity and/or mortality and that a structured definition of follow-up role be established or paramedical personnel.

Adolescent↗
PubMed1977

An integrated medical record and data system for primary care. Part 7: the encounter form: problems and prospects for a universal type.

The importance of an encounter form for recording ambulatory patient information is stressed. Certain problems surrounding appropriate definition of the minimum basic data set (MBDS) are discussed as is the potential development of a uniform encounter form which would cover diagnostic information as well as items necessary for insurance companies and internal practice management.

Ambulatory Care↗
PubMed1976

The International Classification of Health Problems for Primary Care.

Health problems of patients seen in the ambulatory setting are different from those encountered in the hospital, and the particular classification of diseases used should reflect these differences. The International Classification of Health Problems in Primary Care (ICHPPC) was designed for use by primary care physicians. It was tested in multiple sites in several countries for one year and has been approved by the World Organization of National Colleges and Academies of Family Medicine-General Practice and other groups concerned with the classification of diseases. The ICHPPC permits classification of the most important part of an ambulatory data see. Data generated by using this classification facilitate outreach to a practice population, construction of diagnostic profiles of health care providers, design of curriculum and health services research.

Ambulatory Care↗
PubMed1975

Outreach by primary-care physicians.

Outreach can be accomplished by the primary-care physician if he institutes data systems that permit identification of cohorts of his patients by age, sex, diagnoses, and area of residence. These systems were used by the Rochester Family Medical Program to identify and invite patients at risk to receive prophylactic influenza immunization, participate in an obesity treatment group, and receive screening tests for lead intoxication.

Age Factors↗