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. 1977 Aug;27(181):477–481.

The therapeutic effect of taking a patient's history by computer

G A W Dove, P Wigg, J H C Clarke, Maria Constantinidou, B A Royappa, C R Evans, Judy Milne, C Goss, M Gordon, H E de Wardener
PMCID: PMC2158277  PMID: 616834

Abstract

Sixty young women who presented at a general-practice health centre had their medical and social history taken by a computer before having an interview with the doctor. The average length of the automated interview was 90 minutes for the 54 patients who completed the programme, during which an average of 211 questions were answered. The patients found this method acceptable and we think that one of the main reasons for this was that the computer programme was so designed that the patients felt that the doctor was involved throughout.

The computer/patient interview also appeared to have therapeutic benefits, and the computer's summary of the history was a sensitive indicator of those topics about which the patient was most concerned. This combination enabled the doctor to communicate more quickly and in greater depth in the time available. In effect, the time which the doctor could spend with the patient was magnified.

We suggest that the benefits of this system for taking a history from a patient, of which one is the fact that any language or combination of languages can be used, could be extended to all classes of society.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Comfort A. What is a doctor? Lancet. 1972 May 6;1(7758):971–974. doi: 10.1016/s0140-6736(72)91151-8. [DOI] [PubMed] [Google Scholar]
  2. Feinstein A. R. The problems of the "problem-oriented medical record". Ann Intern Med. 1973 May;78(5):751–762. doi: 10.7326/0003-4819-78-5-751. [DOI] [PubMed] [Google Scholar]
  3. Forkner C. E. Delivering the essentials of medical care to all segments of the population. The contribution of systems, computerized medical histories, and computerized automated technology. Am J Med Sci. 1971 Oct;262(4):194–203. doi: 10.1097/00000441-197110000-00001. [DOI] [PubMed] [Google Scholar]
  4. Greist J. H., Gustafson D. H., Stauss F. F., Rowse G. L., Laughren T. P., Chiles J. A. A computer interview for suicide-risk prediction. Am J Psychiatry. 1973 Dec;130(12):1327–1332. doi: 10.1176/ajp.130.12.1327. [DOI] [PubMed] [Google Scholar]
  5. Grossman J. H., Barnet G. O., McGuire M. T., Swedlow D. B. Evaluation of computer-acquired patient histories. JAMA. 1971 Feb 22;215(8):1286–1291. [PubMed] [Google Scholar]
  6. Holmes T. H., Rahe R. H. The Social Readjustment Rating Scale. J Psychosom Res. 1967 Aug;11(2):213–218. doi: 10.1016/0022-3999(67)90010-4. [DOI] [PubMed] [Google Scholar]
  7. Johnson R. A. Letter: Use of computers in general practice. J R Coll Gen Pract. 1975 Jun;25(155):442–443. [PMC free article] [PubMed] [Google Scholar]
  8. Jones F. A. Trends in medical records. Community Health (Bristol) 1975 Jul-Aug;7(1):32–49. [PubMed] [Google Scholar]
  9. Lennox B., White K. J. Selective culling of hospital medical records. Lancet. 1971 Mar 6;1(7697):489–490. doi: 10.1016/s0140-6736(71)91102-0. [DOI] [PubMed] [Google Scholar]
  10. Loewy A., Austin D. F., Derbyshire A. J., Osenar S. B. The patient's history: an appraisal of computer help. Laryngoscope. 1974 Sep;84(9):1514–1524. doi: 10.1288/00005537-197409000-00007. [DOI] [PubMed] [Google Scholar]
  11. Lucas R. W., Card W. I., Knill-Jones R. P., Watkinson G., Crean G. P. Computer interrogation of patients. Br Med J. 1976 Sep 11;2(6036):623–625. doi: 10.1136/bmj.2.6036.623. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Morse S. J. The psychological theory of Michael Balint. Psychiatry Med. 1972 Oct;3(4):407–416. doi: 10.2190/7uvl-j2jr-w3e8-m13k. [DOI] [PubMed] [Google Scholar]
  13. Murray M., Sydenham D., Westlake R. A questionnaire as a data base in problem orientated records. J R Coll Gen Pract. 1974 Aug;24(145):572–575. [PMC free article] [PubMed] [Google Scholar]
  14. Nickerson R. S. Man-computer interaction: a challenge for human factors research. Ergonomics. 1969 Jul;12(4):501–517. doi: 10.1080/00140136908931076. [DOI] [PubMed] [Google Scholar]
  15. Schuman S. H., Curry H. B., Braunstein M. L., Schneeweiss R., Jebaily G. C., Glazer H. M., Cahn J. R., Crigler W. H. A computer-administered interview on life events: improving patient-doctor communication. J Fam Pract. 1975 Aug;2(4):263–269. [PubMed] [Google Scholar]
  16. Shackel B. Man-computer interaction--the contribution of the human sciences. Ergonomics. 1969 Jul;12(4):485–499. doi: 10.1080/00140136908931075. [DOI] [PubMed] [Google Scholar]
  17. Wear L. E. Behavioural studies on patient communication. J R Coll Gen Pract. 1970 Oct;20(99):189–193. [PMC free article] [PubMed] [Google Scholar]
  18. Wright H. B. Letter: History-taking by computer. Lancet. 1975 Apr 26;1(7913):983–984. doi: 10.1016/s0140-6736(75)92051-6. [DOI] [PubMed] [Google Scholar]

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