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A Computer-Based, Automated, Telephonic System to Monitor Patient Progress in the Home Setting

机译:基于计算机的自动电话系统,可监视患者在家中的进展情况

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摘要

In this report we describe an automated, telephonic system to monitor the progress of patients convalescing at home. The system includes a computerized central station that is capable of automated voice communication over the telephone, using voice reproduction, and touch-tone recognition. Peripheral hardware in multiple monitored homes need include only a touch-tone telephone, but may also be augmented by inexpensive, rudimentary diagnostic aids, such as a scale for body weight, a thermometer, or a blood pressure cuff and manometer. Current central hardware includes a NeXT computer, a fax modem, and a specialized telecommunications modem developed specifically for voice telecommunication using the NeXT. The central station acts like a robotic nurse in that it asks patients a series of questions and records the responses. The subjective questions to be asked are patient individualized and pre-selected by the physician from a question menu including items targeted specifically for the patient\u27s disease or condition. In addition, clinical data such as body weight, blood pressure, and body temperature obtained from in-home diagnostic aids may be transmitted to the central station over the telephone using touch tones. The time-of-day and frequency of calling are pre-selectable, according to the patient\u27s preference and clinical status. Data obtained by the central station can be easily accessed by the duty nurse via menu driven software. Reports depicting significant responses as a function of time are generated in graphical format to facilitate rapid identification of adverse trends. Hard copy reports can be dispersed directly by fax. Results from a pilot study show patients with cardiac disease readily use the system without difficulty or complaints. In one patient a five pound increase in body weight was detected, which prompted the patient\u27s cardiologist to adjust his medication. In this way automated telephone follow-up can provide early detection of complications before they become severe, making the home environment safer and more secure for convalescence and contributing to reduced health-care costs.
机译:在此报告中,我们描述了一种自动的电话系统,以监视患者在家中康复的进程。该系统包括一个计算机化的中心站,该中心站能够使用语音再现和按键识别功能,通过电话进行自动语音通信。多个受监控家庭中的外围硬件仅需要按键电话,但还可以通过廉价的基本诊断辅助工具(例如体重秤,体温计或血压袖带和压力计)进行扩充。当前的中央硬件包括NeXT计算机,传真调制解调器和专门为使用NeXT进行语音电信而开发的专用电信调制解调器。中央工作站就像机器人护士一样,向患者询问一系列问题并记录响应。待询问的主观问题由患者个性化设置,并由医师从问题菜单中预先选择,问题菜单包括专门针对患者疾病或状况的项目。此外,可以使用按键音通过电话将临床数据(例如,体重,血压和体温)从室内诊断辅助设备获得的信息传输到电话中心。根据患者的喜好和临床状况,可以预先选择呼叫的时间和频率。值班护士可以通过菜单驱动的软件轻松访问中央站获取的数据。以图形格式生成了将重要响应作为时间函数进行描述的报告,以帮助快速识别不利趋势。纸质报告可以直接通过传真散发。一项初步研究的结果表明,患有心脏病的患者可以轻松使用该系统而不会遇到困难或抱怨。在一名患者中,检测到体重增加了5磅,这促使患者的心脏病专家调整了他的用药方法。通过这种方式,自动电话随访可以在并发症变得严重之前及早发现,从而使家庭环境更安全,更安全地进行康复治疗,并有助于降低医疗保健成本。

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