Medical informatics in 1969 Sweden

MEDICAL INFORMATICS IN 1969 SWEDEN

 André Julien Fabre                    July 1969 

Swedish Hospital Medicine is part of the Swedish  National Social System. Sweden is divided into seven regions for an optimized care of hospitalized patients in neurology neurosurgery and surgery, urology, radiotherapy and laboratories.

Until now Karolinska Hospital was National Hospital, but after the implementation of this plan, will be Regional Hosital.

 THE "J 5" (MEDICAL RECORD SYSTEM) 

its origin dates back to 1962 from the National Council for the rationalization of the organization (SJURA) and the National Office for the organization and management.

First programm was in in Algol-21 GeniusD at the Malmöe General Hospital. Since 1967 a new program was designed for IBM COBOL 360 at Karolinska to serve both the functioning of the hospital as a "pilot" Mission on the use of computers in hospital medicine.

The goal of the program is as follows:

- Storage of all types of alpha-numeric data

- Entry in memory of all forms of information

- Access using non coded forms

- Flexible structure to allow further use of new information centers 

Creators of the Prograù  were Paul Hall, and Mellner Danielsson. 

KAROLINSKA SJUKHUST PROJECT STOCKHOLM (PR. PAUL HALL) 

Two computers admission of patients and electrocardiograms, laboratory organization of biology and bacteriology relations department with the blood bank and pharmacy.

The aim is to achieve a fully integrated hospital medicine and the most effective part of the program seems to be the "reservation" of admissions

It also exists at the Karolinska applications in medical informatics for the bacteriology laboratory and the department of homology.

The Karolinska institutions will be soon connected to MEDLARS ("medical luiterature analyfis and rettrieval system") beyond National library of medicine of Betthesda, mb, USA

 UPSALA DATA CENTER COMPUTER SERVICE (PR.  WAHLQUIST)

Aplication satarted in 1963. Medical record of the chronically ill in hematology, nephrology and pulmonology and hepatology in childhood.

In addition, University Hospitals  have other achievements: the laboratory and biological chemistry Pierre and blood bank

 LUND INFORMATIC DATA CENTER (PR.  W. SCHNEIDER) 

A program of preventive medicine in 4 yrs old children will be started inclusing a standard clinical examination, audiological examination that ophthalmologic, psychological, dental, and an assessment of the home environment.

The approximate price is 200 s.kr. per chart  

REGIONAL HOSPITAL DANDERY (DRS TILLMAN AND R. BAUER) 

This brand new hospital, has a processing system of sophisticated information.

Use of a computer Nivac operates a giant file for all county residents and, in fact, the entire Stockholm region for a total of 1.6 million people

Information includes : on the civil state of the patient's medical history, information on previous officialisations and consultations and some tests such as X-ray examinations.

Most striking achievement is that access to information is on  "video mode"

 SAHLGRENSKA SJUKHUSET GOTEBORG  (DEPARTMENT OF RADIOLOGY (DR DEMME BRELIN) 

Combination of MEDLARS and radiology. From a radiological movie information records  appear on a screen, represented by a text, a drawing or diagram.

Information is then introduced by means of a keyboard. The computer responds by projecting the following information request and establishing the reference light of the information that was entered.

Overall, the goal is to improve on a specific topic, the storage of radiological reports and create effective communication between man and machine 

CONCLUSION 

The initial period of illusions is now closed and there is little enthusiasm aplus in Swedish hospitals on medical informatics

The agreement is put around the reliability, better use is a humanization of modern processes is information.

Preventive Medicine is considered the best scope of medical informatics, at least in the immediate

Patient identification remains a major problem

Persistent hostility many physicians in medical informatics

IT has not provided a remedy for the general shortage of doctors and nurses

Overall, computers generate many by-product of medical informatics: the educational value, increased number of decisions, development of medical rationalization

Problem of profitability actual profitability apparent. Theory announcement specificity of medical problems.

Nobody speaks project "global" in Medicine: specialists in medical informatics and considers it necessary to build in the first place all the interfaces between the different ll hospital activities

Objectifsu long-term unification of networks, the overall integration of medicine in the life of the community.

IT support in capacity and efficiency rather than a substitute that can make a doctor must 

TWO MAIN FEATURES

 First multiply applications and try later correlation

Monitoring and long-term prevention are the most effective way to target or profitability

 

a.fabre.fl@gmail.com

 

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