Skip to main content
Proceedings of the AMIA Symposium logoLink to Proceedings of the AMIA Symposium
. 1999:481–485.

Experience with an electronic health record for a homeless population.

D R Blewett 1, G O Barnett 1, H C Chueh 1
PMCID: PMC2232624  PMID: 10566405

Abstract

A computerized electronic medical record (EMR) system using client-server architecture was designed and implemented by the Laboratory of Computer Science for use by the Boston Health Care for the Homeless Program (BHCHP) to meet the unique medical record needs of the homeless. For the past three years, this EMR has been used to assist providers in the delivery of health care to the homeless population of Boston. As the BHCHP has grown and technology improved, it is important to review what features of the EMR work, and to investigate what improvements can be made for the better delivery of care to the homeless, especially as we approach the next century.

Full text

PDF
485

Selected References

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

  1. Barnett G. O., Jenders R. A., Chueh H. C. The computer-based clinical record--where do we stand? Ann Intern Med. 1993 Nov 15;119(10):1046–1048. doi: 10.7326/0003-4819-119-10-199311150-00014. [DOI] [PubMed] [Google Scholar]
  2. Chueh H. C., Barnett G. O. Client-server, distributed database strategies in a health-care record system for a homeless population. J Am Med Inform Assoc. 1994 Mar-Apr;1(2):186–198. doi: 10.1136/jamia.1994.95236148. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Chueh H. C., Raila W. F., Berkowicz D. A., Barnett G. O. An XML portable chart format. Proc AMIA Symp. 1998:730–734. [PMC free article] [PubMed] [Google Scholar]
  4. Ferenchick G. S. Medical problems of homeless and nonhomeless persons attending an inner-city clinic: a comparative study. Am J Med Sci. 1991 Jun;301(6):379–382. doi: 10.1097/00000441-199106000-00004. [DOI] [PubMed] [Google Scholar]
  5. Gelberg L., Doblin B. H., Leake B. D. Ambulatory health services provided to low-income and homeless adult patients in a major community health center. J Gen Intern Med. 1996 Mar;11(3):156–162. doi: 10.1007/BF02600268. [DOI] [PubMed] [Google Scholar]
  6. Hibbs J. R., Benner L., Klugman L., Spencer R., Macchia I., Mellinger A., Fife D. K. Mortality in a cohort of homeless adults in Philadelphia. N Engl J Med. 1994 Aug 4;331(5):304–309. doi: 10.1056/NEJM199408043310506. [DOI] [PubMed] [Google Scholar]
  7. Hwang S. W., Lebow J. M., Bierer M. F., O'Connell J. J., Orav E. J., Brennan T. A. Risk factors for death in homeless adults in Boston. Arch Intern Med. 1998 Jul 13;158(13):1454–1460. doi: 10.1001/archinte.158.13.1454. [DOI] [PubMed] [Google Scholar]
  8. Hwang S. W., Orav E. J., O'Connell J. J., Lebow J. M., Brennan T. A. Causes of death in homeless adults in Boston. Ann Intern Med. 1997 Apr 15;126(8):625–628. doi: 10.7326/0003-4819-126-8-199704150-00007. [DOI] [PubMed] [Google Scholar]
  9. Kohane I. S., van Wingerde F. J., Fackler J. C., Cimino C., Kilbridge P., Murphy S., Chueh H., Rind D., Safran C., Barnett O. Sharing electronic medical records across multiple heterogeneous and competing institutions. Proc AMIA Annu Fall Symp. 1996:608–612. [PMC free article] [PubMed] [Google Scholar]
  10. Mandl K. D., Kohane I. S., Brandt A. M. Electronic patient-physician communication: problems and promise. Ann Intern Med. 1998 Sep 15;129(6):495–500. doi: 10.7326/0003-4819-129-6-199809150-00012. [DOI] [PubMed] [Google Scholar]
  11. Morris W., Crystal S. Diagnostic patterns in hospital use by an urban homeless population. West J Med. 1989 Oct;151(4):472–476. [PMC free article] [PubMed] [Google Scholar]
  12. Rossi P. H., Wright J. D., Fisher G. A., Willis G. The urban homeless: estimating composition and size. Science. 1987 Mar 13;235(4794):1336–1341. doi: 10.1126/science.2950592. [DOI] [PubMed] [Google Scholar]

Articles from Proceedings of the AMIA Symposium are provided here courtesy of American Medical Informatics Association

RESOURCES