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The Electronic Patient Record (EPR) is both a legal document and a tool for use by physicians and other health personnel during provision of health care. Its primary purpose is to provide and store information about the patient in clinical settings , but it's also a source of medical knowledge (e.g. epidemiology and quality of care). Due to the sensitive(More)
The ability to automate the assignment of primary care medical diagnoses from free-text holds many interesting possibilities. We have collected a dataset of free-text clinical encounter notes and their corresponding manually coded diagnoses and used it to built a document classifier. Classifying a test set of 2,000 random encounter notes yielded a coding(More)
BACKGROUND In spite of successful adoption of electronic patient records (EPR) by Norwegian GPs, what constitutes the actual benefits and effects of the use of EPRs in the perspective of the GPs and patients has not been fully characterized. We wanted to study primary care physicians' use of electronic patient record (EPR) systems in terms of use of(More)
INTRODUCTION The aim of this study is to explore the obstacles to collaborations between nurses in hospital and municipal care in the discharge of hospital patients who need continuing care. METHODS First, we conducted in-depth interviews of nurses in hospitals and nurses in municipal care. Second, we developed questionnaires and distributed them to a(More)
INTRODUCTION A mandatory multidisciplinary plan for individual care, the 'Individual care Plan', was introduced by law in Norway in 2001. The regulation was established to meet the need for improved efficiency and quality of health and social services, and to increase patient involvement. The plan was intended for patients with long-term and complex needs(More)
We propose a framework for a problem-oriented patient record for general practice 1 and defend that the problem-oriented medical record represents an intuitive way to organize the patient record. By adding a layer of knowledge to the electronic patient record the record system is able to better utilize the information stored in the record. If a record(More)
BACKGROUND Different models for care pathways involving both specialist and primary care have been developed to ensure adequate follow-up after discharge. These care pathways have mainly been developed and run by specialist care and have been disease-based. In this study, primary care providers took the initiative to develop a model for integrated care(More)
OBJECTIVE To evaluate GPs use of three major electronic patient record systems with emphasis on the ability of the systems to support important clinical tasks and to compare the findings with results from a study of the three major hospital-wide systems. METHODS A national, cross-sectional questionnaire survey was conducted in Norwegian primary care. 247(More)
OBJECTIVES To identify barriers to deployment of four articulated Integrated Care Services supported by Information Technologies in three European sites. The four services covered the entire spectrum of severity of illness. The project targeted chronic patients with obstructive pulmonary disease, cardiac failure and/or type II diabetes mellitus. SETTING(More)