Medical Informatics Europe 81: Third Congress of the European Federation of Medical Informatics Proceedings, Toulouse, France March 9–13, 1981

998 Pages·1981·26.836 MB·English-French

by  J. R. Möhr (auth.), Francois Grémy, Patrice Degoulet, Barry Barber, Roger Salamon (eds.)

Lecture Notes in
Medical Informatics
Edited by D. A B. Lindberg and P. L. Reichertz
11
Medical Informatics Europe 81
Third Congress of the European Federation
of Medical Informatics
Proceedings, Toulouse, France
March 9-13, 1981
Edited by
F. Gn3my, P. Degoulet, B. Barber, and R. Salamon
Springer-Verlag
Berlin Heidelberg New York 1981
Editorial Board
J. Anderson, J. H. van Bemmel, M. F. Collen, S. Kaihara, A. Levy,
D. A. B. Lindberg (Managing Editor), H. Peterson, A. Pratt,
w.
P. L. Reichertz (Managing Editor), Spencer, K. Oberla, C. Vallbona
Editors
F. Gremy
P. Degoulet
Department de Biophysique et de Biomathematiques
Faculte de Medecine PITIE-SALPEfRIERE
91, boulevard de I'HOpital, Paris 13eme, France
B. Barber
North East Thames Regional Health Authority
40, Eastbourne Terrace, London, W2 3QR, Great Britain
R. Salamon
Departement Informatique, Universite BORDEAUX II
146, rue Leo Saignat, 33076 BORDEAUX CEDEX
Program Committee
F. Gremy W. van Eimeren A. Michel
B. Barber A. Fernandes Perez de T alens F. Roger
P. Degoulet M. Laudet O. Wigertz
P. Dragsted J. Martin
Organizational Committee
T. Brichteau F. Gremy
B. Doyon A. Remond
P. Fernet M. Valer9uic
ISBN-13:978-3-540-10568~8 e-ISBN-13:978-3-642-93169-7
DOl: 10.1007/978-3-642-93169-7
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© by Springer-Verlag Berlin Heidelberg 1981
2145/3140-543210
INTRODUCTION
The European Federation for Medical Informatics has established itself
as a regional body coordinating activity in medical informatics. The
Congress in Toulouse, MIE-81, from 9 - 13 March 1981, is the third
congress in the ser ies following MIE-78 in Cambr idge, and MIB-79 in
Berlin with a gap during 1980 for the world congress MEDINFO-80 in
Tokyo. The rationale behind all these congresses is the scientific
need to share results and ideas and the educational need to train a
wide variety of professional staff in the potential of health care and
medical informatics. All the caring professions are involved,
doctors, scientists, nurses, para-medical staff, administrators,
health care planners, community physicians, epidemiologists,
statisticians, operations analysts together with specialists from the
computing profession dealing with system analysis, hardware, software,
languages, data-bases and the marketing of systems.
Medical Informatics is a very wide subject with ramifications
throughout the health care and preventive services; it offers a key to
the monitoring and improvement of patient care and to the provision of
a healthier environment. The collection and evaluation of relevant
data improves our understanding of the ways in which health care is
provided while the availability of cheaper computer hardware and more
versatile software enables us to design and implement more revealing
and intelligent medical systems.
Even though typical systems take a substantial amount of time to
design, implement and evaluate, there is the continuing need for
informaticians to assess the current state of developmen.t across the
whole field with their colleagues and for new-comers to the profession
to be exposed to the variety of systems in current use and the extent
of the role that medical informatics can play in health care. The
rapid pUblication of conference papers from a multi-stream congress
enables participants to follow work presented to sessions that they
could not attend but more importantly this approach provides a
published record with a relevant bibliography for research workers to
asse~s which groups are active in which areas of medical informatics.
In this sense such collections help to define the field and they are
particularly valuable in a rapidly expanding multi-disciplinary
environment. The keynote of the approach is rapid publication using
IV
camera-ready copy provided by the author. This precludes more than a
minimal amount of editingl only a few of the most obscure papers can
be retyped in the time scale that such an approach makes possible.
Also, it does not attempt to include the actual papers as presented at
the congress, which often depart from the published text, or to
include any assessment of the papers and any consequential discussion.
These are valuable but. different areas of interest and the lack of
them does not diminish the value of the papers from the point of view
of a detailed examination of a topic as it would be normal to
establish direct contact with professionals working in an area of
interest in order to obtain their latest papers, internal reports and
suggestions.
The papers for HIE-81, Toulouse, are well up to standard in presenting
a var iety of topics in medical informatics from a wide var iety of
countries in Europe and beyond.
The main focus of the congress is on three specific areas:-
1. Analysis, Evaluation & Improvement of Health Systems
2. Chronic Diseases
3. Informatics, Robotics and the Handicapped
rather than the whole range of medical and health care informatics.
These are areas where the potential for growth is considerable and it
is expected that they will attract considerable interest. It is hoped
that this congress will have helped to foster and encourage this
interest.
During the next decade medical and health care informatics will
provide essential tools for the clinical care of patients, for the
evaluation of patient care and for the administration and planning of
health services. Computer systems will proliferate in more and more
interesting medical and nursing applications providing specialised
facil i ties to more and more pr acti tioners. These papers represent
another milestone in the growth of the subject and offer some further
insight into its current development and future potential.
FRANCOIS GREMY
PATRICE DE GOULET
PARIS
BARRY BARBER
NOVEMBER 1980
ROGER SALAMON
TABLE OF CONTENTS
Review Papers
I!1aisonrouge, J.
Nouvelles tendance technologiques et leur impact possible
en medecine"
Jardel, J.P.
Besoins en Informatique dans l'option de la strategie
regionale de l'O.H.S. pour l'an 2000 •
Lorimy, B.
La politique de L'Agence de l'Informatique dans le
secteur medico-social •
Sayers, B.
I!1icrocomputers in Hedicine: opportunities and
priorities *
Mohr, J.R.
The computer in the doctor's office
Goldberg, M" Dab, W., Gremy, F.
Mesure de la sante individuelle et mesure de la sante
d'une population 14
Ball, M.J.
Medical information systems in the USA, 1980 22
Vidal, J.J.
Integrated computing & telecommunications in biomedical
research and medicine - A perspective for the eighties - 33
Bakker, A.R.
Centralization and decentralization aspects in hospital
information systems 41
•
Paper could not be included
VI
Kvamme, J.-I.
Health information systems for remote areas 50
Sauter, K.
Medical databases - conceptual and technical aspects 58
Session E1: National and regional data systems
and planning
Chairperson: Barber, B. (UK)
Vice-chairperson: Brenna, A. (Italy)
Kataja, 14., Aho, 14.
Experiences from a regional medical data base 66
Bryden, J.S., Davidson, D., Marr, A.C., UcQueen, I.,
1·1elville, A.G., Rankin, J.
Construction of a population index to improve community
health: A Scottish approach to health computing 74
Ricci, F.L., Rossi Mori, A., de Rosis, F.
Etablissement d'un systeme d'information sur l'activite
medicale de base: Une approche 85
Benech, J.-!-l., Brunel, M., Sambuc, R., Fieschi, 1·1.
Evaluation de la morbidite hospitaliere publique et
privee des Bouches-du-Rhene. Approche de l'adequation
des moyens definis par la carte sanitaire 94
Schuurman, K.
Regional patient databank 101
Saucier, A., Brodeur, J.-!-1., Contandriopoulos, A.-P.,
Dussault, G.
Prevision regionale de la main d'oeuvre dentaire: le cas
du Quebec 108
Linnakko, E. Seppala, H., Hillebrand, E.
Organisation, technical solutions and utilisation of
patient discharge registers in Finland 117
VII
Gronroos, P., Tervo-Pellikka, R.
The life-long or unit medical record system and its
connection to the regional data-base 126
Session E2: National and regional data systems
and planning II
Chairperson: Fernandez Perez de Talens, A. (Italy)
Vice-chairperson: Haro, A.S. (Finland)
r.lanacorda, P.M., Pietroboni, P.
A model of evaluation of health services "by objectives" 130
Gray,
A.~l.
The role of economics in health care evaluation 138
Shah, A.R., Foot, S.J., Hollowell, J.
Renal replacement services planning - a mathematical
approach 143
Kellhammer, U.
Selection in recruiting patients via a random sample of
gynecologists 151
Contandriopoulos, A.P.
Efficacite du systerne de soins et paiement a l'acte 159
Marr, A.C., Melville, A.C., Rankin, J., Bryden, J.S.,
Davidson, D., McQueen, I.
Baby irnrnunisation:an aid to illness and handicap
prevention 169
Martin-Bouyer, G., Estavoyer, G., Foulon, G.
Interet de l'ordinateur dans le contrale des vaccinations 174
Ricci, F.L., Rossi, B., Rossi-11ori, A.
The role of the information system in planning the
control of a genetic disease 182
VIII
Session E3: Evaluation·of institutions:
Out-patients care
Chairperson: Peterson, H. (Sweden)
Vice Chairperson: Fokkens, O. (Netherlands)
Giglio, R.J.
Progress and prospects for patient-controlled medical
information systems 185
Schwarz, B., Reichertz, P.L.
A method to measure the degree of health care coverage
in primary care 193
Schwefel, D., Redler, E., van Eimeren, W., Schewe, St.
Problems of evaluating outpatient care with routine data 201
Clark, E.M.
Health promotion: An alternative role for automated
health testing 209
!olcColl, D.D.F., Harrison, R.F., Unwin, A.R.
Antenatal clinic analysis and evaluation of patient care
for the health care system 217
Cinquin, P.,Dusse~re, L., Gauyon, J.B., Cinquin, A.M.,
Alison,M., Nivelon, J.L., Tenenbaum, D.
Evaluation des processus de soins aux "petits poids de
naissance" 225
Bernardinelli, L., Berzuini, C., Romagnoli, G.
Child: A computer system for data analYSis in a service
for preventive school care 233
IX
Session E4: Patient care: Special application
to intensive care
Chairperson: Rateau, o. (IBI, Rome)
Vice chairperson: Le Gall, J.R. (France)
Dragsted, L., Qvist, J., Horwitz, 0., Janstrup, F.,
Johansen, S.H.
Prognostic indicators of survival in intensive therapy.
A ~etrospective and prospective study 236
Le Gall, J.R., Latournerie, J., Pleven, D., Trunet, P.,
Candau, P.
Evaluation de l'etat de sante avant et apres hospitalisation
en reanimation 245
Tuinstra, C., Kolff, J., Laarse, A., Lie, H., Kan. G.,
van Capelle, F., Michels, R., Born, K., Vinke, R.
A data processing structure to registrate data from
geographically dispersed coronary care units 253
Hartung, H.-J., Osswald, P.-l~., BOhner, U., Lutz, H.
Data recording and presentation in the department of
anesthesia and reanimation, Mannheim 259
Trunet, P., Le Gall, J.R.
a
Hospitalisations dues la pathologie iatrogene dans un
service de reanimation multidisciplinaire 263
Session E5: Evaluation of institutions: In-patients care
Chairperson: Roger, F.H. (Belgium)
Vice chairperson: de Heaulme, M. (France)
Inman, D.W., Henry, J., Melville, P.
Simulation and queueing models to assist planning of
accident and emergency services 266
x
Choffat, P., Legras, B., Martin, J., Perreard, M.,
Picard, J.M., Rose, E.
Evaluation des activites d'un departement d'anesthesie
reanimation. Bilan de 10 annees *
Contandriopoulos, A.P., Lance, J .M., McConnell-Bastian, H.L.,
Pineault, R., Valois, M.
Evaluation d'un programme de chirurgie d'un jour 275
Tainturier, C., de Heaulme, M., Mery, C• . , Grosgogeat, Y.
a a
Aide l'analyse d'activite d'un service de cardiologie
partir du traitement par ordinateur des resumes d'hospitali
sation 283
Selbmann, H.K., Warncke, W., Eissner, H.J.
Comparisons of obstetric departments as a tool for
quality assurance. Methodological aspects and problems *
Huet, B., Martin, J.
a
Evaluation d'un systeme informatique de laboratoire
part~r de la simulation d'une journee de travail au
laboratoire 290
Allard-Breton, N., Trottier, L'.-H., Pineault, R.,
Brodeur, J .-14., Champagne, F.
La multidisciplinarite: un instrument de pouvoir des
professions 298
Lapinski, H., Car try , E., Blotman, M.J., Champetier, A.,
Zurika, B., lUrouze, J.
Organisation de la gestion medicale dans un service Qe
maladies chronicues *
Session E6: Evaluation of diagnostic and therapeutical
procedures
Chairperson: Salamon, R. (France)
Vice chairperson: Dragsted, P. (Denmark)
•
Paper could not be included