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At least 937 records · Page 52Linked to original sources
PubMed1994

The ORATEL project. Telematic system for quality assurance in oral health care.

ORATEL is a 3-year project of which WHO/EURO is prime partner and which is partially supported financially by the Advanced Informatics in Medicine programme of the Commission of the Europe Communities. ORATEL has the ultimate objective of improving oral health through use of appropriate telematic information tools for quality assurance and development. These tools have the potential to promote quality assurance in oral health care by using common quality indicator standards which allow for comparison of outcome and resource utilization. The project has completed its first phase. The main challenge of this Phase I was to develop and reach European consensus on indicators for quality in oral health care. Based on the Phase I activities, a manual on the basic minimum set of indicators for quality in oral health care was prepared. Phase II covered development of the three telematic information tools and the preparation of a technical manual. Phase III is testing and evaluation of the tools started in February 1994 and is taking place during.

Denmark↗
PubMed1994

Equity and improvement in outcome of breast cancer in Denmark.

The trend in the prognosis for female breast cancer patients was investigated by comparing Kaplan-Meier survival curves of different patient cohorts diagnosed during the period 1948-87. The study is based on 71,448 patients from the Danish Cancer Registry. The cohorts were defined by age at diagnosis, year of diagnosis, and residential area. The survival time from diagnosis nearly doubled from 1948-57 to 1978-87, the most important improvement taking place after 1978. Patients diagnosed in 1948-77 in the Copenhagen area had a far better prognosis than patients diagnosed during this period in other parts of Denmark. For patients diagnosed in 1978-87 the prognosis, however, reached an equal level in all parts of the country. Thus, it is reasonable to assume that the national programme introduced in 1977 by the Danish Breast Cancer Cooperative Group (DBCG) has played an important role and not only brought about therapeutic improvements in breast cancer treatment in Denmark, but also ensured equity in the outcome on a national scale.

Adult↗
PubMed1995

From guidelines to decision support in the management of asthma.

Asthma is a common chronic disease of the lungs caused by inflammation of the airways affecting 6-7% of the population. Asthma is becoming commoner and there is evidence of under-diagnosis and poor management. Guidelines have been developed aimed at improving quality of care and in reducing social costs of asthma. The paper discusses an approach to implementing guidelines through decision-support system in primary care, based on methods developed in the AIM GAMES-II project. We also describe a prototype system that has been developed and a programme of clinical evaluation.

Adult↗
PubMed1995

Protocol-directed shared care in cardiology.

In the new market-oriented UK National Health Service, hospitals succeed or fail on the quality of service they provide to their customers. It is therefore important that institutions like the Royal Brompton Hospital can meet the information and communication needs of General Practitioners and hospitals who use their services so that co-ordination between healthcare professionals involved in the co-operative care of individual patients can be ensured. One method of improving the relationship between healthcare professionals is by the use of consensus-based clinical protocols which define "best practice' co-operative care for a particular condition. The Royal Brompton Hospital has been a clinical partner in the AIM project DILEMMA which has been examining technology and methodologies for applying clinical protocols supported by telematics to general practice and shared care. A detailed requirements analysis has been carried out to look at the problems of shared care in cardiology and this has resulted in a demonstration system being developed to show how protocol-directed shared care and its supporting technology could be implemented to solve real clinical problems. Conclusions have been drawn that concern the use of protocols and information technology generally in routine clinical care.

Cardiology↗
PubMed1995

Disseminating quality care for upper gastrointestinal cancer.

This presentation discusses the problem involved in providing quality care for patients with Upper GI Cancer throughout a healthcare delivery system. It is argued that appropriate telecommunications technology exists for widespread dissemination of "best clinical practice", but that it cannot be used effectively at present because of some limiting factors. These include lack of precisely defined aims concerning use of technology, lack of interactive quality control, and insufficient involvement of end-users. Upper gastrointestinal cancer is selected as a model for discussion-since there is wide discrepancy between outcome of therapy in early and late cases, there is evidence that early diagnosis is possible-and there is substantial evidence that it does not take place widely in practice. Prospects for the future (with special reference to the 4th Framework) are discussed. It is argued that considerable opportunities exist. Future work should build on existing experience in informatics (eg. the "Telegastro" program) and in clinical practice (e.g. the Leeds "outreach" programmes) for (a) widespread dissemination of effective "best" clinical practice; and (b) continuing medical education.

Computer Communication Networks↗