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askmyGP evidence base, published papers


One of the first papers on computer patient interviewing was published in 1966: Slack WV, Hicks GP, Reed CE, Van Cura LJ. A computer-based medical-history system. N Engl J Med. 1966 Jan 27; 274(4):194-8.

In 1997, Professor Ray Jones, then at Glasgow University, produced a report for the “NHS Information Management Group” on computer patient interviewing.

In 2003, John Bachman, Professor of Family Medicine at the Mayo Clinic, published a literature review of the subject.

2010, BMJ, Richard Smith reports Computers take histories better than doctors – liquorice and blood pressure among other questions.

In 2010, Professor Bachman published a paper describing his experience of 2,531 ‘e-visits’ from 4,282 patients at his clinic and demonstrated that in a significant number of instances a face to face consultation was not required.

“Because patients could enter any symptom or concern, ask questions, and provide additional comments, the e-visits eliminated the need for clinicians to ask for further information in most instances.”

Please view a video of Professor Bachman talking about this paper.

Presentation at Plymouth University by Professor Bachman, 2005, from 31 minutes in.

Webinar by Dr Allen Wenner on benefits of pre-visit history taking by computer, 2008.

A shorter video on how Professor Bachman uses the system to improve efficiency and quality at his  Mayo clinic practice.  As patients are empowered, he explains the financial benefits to providers from time saved.

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