Continuity of care datset

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dc.contributor.authorFlanagan, Patricia Disaen_US
dc.date.accessioned2024-08-13T22:22:41Z
dc.date.available2024-08-13T22:22:41Z
dc.date.copyright1997en_US
dc.date.issued1997
dc.degree.departmentSchool of Health Information Scienceen_US
dc.degree.levelMaster of Science M.Sc.en
dc.description.abstractThe smooth transfer of a patient's care from the hospital to the community is achieved through a process that is referred to as continuity of care. Continuity of care assists in the monitoring of a patient's needs and the management of a patient' s health care over time. Its success depends upon the communication which occurs among the health care providers involved in the patient's care. Communication facilitates the sharing of patient information. This information is necessary to support the clinical decisions of health care workers. In addition this information needs to be timely, relevant and accurate if it is going to be of value. Currently, most health care decision-making is based on information derived from the paper-based medical record. This record, however, is a poor tool for clinical decision making because it is not easily accessible to all health care providers. In addition, the information in the paper-based record is not organized around the patient. Instead, it is organized around the interests of the various health care professionals who provide care to the patient. As a result, there is no summary of patient information that allows health care providers to view the patient's physical, social and psychological history at a glance. Without this information, health care providers cannot make decisions that guarantee that health care is delivered in respect of the whole patient. The use of a computer-based patient record has been strongly advocated as the most likely means of resolving the problems surrounding the paper-based record. A computerized patient record would provide the right patient information to the right provider, in the right format and at the right place. The first step, however, does not simply involve transferring of the information from the paper-based record to a computer-based record, but rather in identifying the information that health care providers need in order to make better clinical decisions. One means of identifying this infom1ation is to examine the data collection tools currently being used to collect health care information. The primary purpose of these tools, referred to as datasets, is to gather information that would support decision making. Although many health care datasets have been developed, most are used to collect information about a specific aspect of health care. At present, no dataset provides a holistic profile of patient information that integrates data from a multidisciplinary group of health care providers. A more systematic process of identifying the information needed by health care workers is to use a methodology called data modeling. Data modeling is a method that identifies the information requirements of the users of a system. This research identifies the information requirements of community physicians, nurses and social workers who provide care to an AIDS patient who is discharged from the hospital and requires community follow-up services. It also identifies the information hospital emergency department staff need when an AIDS patient arrives in the emergency department and has been receiving health care services in the community. The data identified from this methodology is referred to as the continuity of care dataset. The continuity of care dataset contains 125 data elements which makes it considerably smaller than the paper medical record. It is not meant to be a complete patient record, but rather a summary or profile of relevant patient information that is needed by physicians, nurses and social workers to facilitate continuity of care across the hospital community interface. From this dataset, a high-level conceptual data model was designed. 1his model represents the "real world" of clinical health care delivered to AIDS patients. It is also the foundation upon which an information system can be built. This information system could be the first step to enable the development of a computerized patient record that would be accessible to health care providers, researchers and policy makers alike.
dc.format.extent87 pages
dc.identifier.urihttps://hdl.handle.net/1828/17780
dc.rightsAvailable to the World Wide Weben_US
dc.titleContinuity of care datseten_US
dc.typeThesisen_US

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