Medico-economical use of the medical record or the bridge between minimal and detailed data.
Medico-economical use of the medical record: the title encloses two different notions which represent two different trends within medical informatics. The first trend is worried about weighting aspects of health resources consumption, mainly about hospital acute care; their key-words are "DRG (Diagnostic Related Groups), Case-Mix, reimbursement by pathology, measurement of indicators (severity or outcome), costs". The other trend is looking for deeper understanding of the medical process and for better diffusion of relevant information helping the day-to-day care process; they speak of "CPR (Computerized patient record), full text reports and corresponding retrieval, detailed data, medical records on Internet, large access to literature and databases". It is mandatory to realize a bridge between these two trends for facing the information technology revolution entering into a self-revolutioning medicine. The purpose of this paper is to begin this bridge by showing what the DRG people expect from the CPR people and what the latter should receive from the former.
Borst
F
F
Division d'Informatique Médicale Hôpital Cantonal Universitaire, Geneva, Switzerland.
Lovis
C
C
Thurler
G
G
Maricot
P
P
Scherrer
J R
JR
D003953:Diagnosis-Related Groups; D006291:Health Policy; D006801:Humans; D007256:Information Systems / Q000639:trends*; D016347:Medical Records Systems, Computerized; D011785:Quality Assurance, Health Care; D013557:Switzerland