Rethinking NHS networking.
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It is sound medical education discipline to ask for a review of the literature, patient to patient, before setting up any global appraisal or clinical judgement. Next it appears legitimate to conduct similar searches with a local or institutional data base management system to find similar local patients to be compared with those of the literature. Both actions need communication facilities to be rooted in the patient ward unit. It is shown how well the new workstations are suited to these communication expectancies, with an appropriate capability of providing a user-friendly human interface, international bibliographical research (such as MEDLINE), a remote computer assisted learning programme library, image manipulation and local medical records handling. It is also emphasized that the expectancies related to UMLS (Unified Medical Language System of the National Library of Medicine in Washington DC) or to telemedicine are closely dependent on the availability of the high networking performances now available.
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Computer networks serve as convenient, efficient, and enduring vehicles for delivering nursing services to patients at home. The ComputerLink, a nurse-supervised computer network, provides information, decision support, and communication services to caregivers of people with Alzheimer's Disease [1]. The data obtained in the original experiment included daily logs of each caregiver's use of ComputerLink (n=606 days), records of each caregiver's ComputerLink access behavior (47 subjects; 3875 accesses), and transcripts of the public communications (n=749) posted on the ComputerLink's open electronic bulletin board. In this paper, we present a case study of an early user's pattern of connections to ComputerLink as an atypical example of how elders make use of computer networks.
Network architectures that take advantage of new, switch-based building blocks have just begun to appear. Some are designed to relieve specific bottlenecks; others revitalize the entire network.
Most universities and major research institutions in North America, Western Europe and around the Pacific are connected via computer communication networks. The authors have used these networks' accessible, low cost, electronic mail system to develop a network of public health researchers and teachers. Current and potential uses of this network are discussed. These networks can not only facilitate international cooperation within public health; they also make it possible to conduct international collaborative research projects that would be too cumbersome and time consuming to initialize and conduct without this communication facility. One participant from Hungary has been able to participate in the network by using telefax. This has some drawbacks compared to electronic mail. In this era of rapid change in Eastern Europe, we urge that electronic communication be made freely available to colleagues in Eastern Europe.
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