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ABSTRACT: An electronic medical information network (EMI net) includes patient records from more than 40 facilities in Matsudo City and it is now used especially to improve the communication between doctors and nurses who visit patients' homes. This fact suggests the importance of a medical information sharing system in a local area for home care medicine. An infrastructure connecting facilities to share the database of the patient records is essential for home care medicine performed by a multidisciplinary team beyond one medical facility.
Gan to kagaku ryoho. Cancer & chemotherapy 01/2004; 30(1 Suppl):169-72.
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ABSTRACT: An electronic medical record sharing system, which supports management of terminally ill patients at home, was developed in Matsudo City as a trial project. The system interconnects several facilities including four general practitioners (GPs), a visiting nurse center and a supporting municipal hospital. It provides the latest patients' information from GPs to the municipal hospital in case of the acute change of the patients' condition and their transfer. Using this system the discussion between GPs and visiting nurses became much more fruitful than we had expected, while some doctors did not use the system because of their computer literacy. Problems in the system security and privacy protection as well as clarification of users' responsibility remain to be solved. A more expanded system is now being developed as a new enterprise of Matsudo Medical Association following this system.
Gan to kagaku ryoho. Cancer & chemotherapy 01/2003; 29 Suppl 3:432-5.
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ABSTRACT: A community-based electronic medical record sharing network system (EMI net) was developed in Matsudo City. This system facilitates communication between GPs and visiting nurses in charge of patients under homecare and it has proved useful from the view point of visiting nurses. For example nurses can read the information input by visiting GPs timely, share common view on the patients with GPs, and write a report illustrated with photographs at any time. Moreover, they can communicate with GPs through E-mail. On the other hand, EMI net remains to be improved in a few aspects, such as the need of a system to indicate a record has been read by GPs and to decrease the labor for entering data. We plan to increase the services provided by EMI net by enrolling other facilities.
Gan to kagaku ryoho. Cancer & chemotherapy 01/2003; 29 Suppl 3:560-3.
