Preliminary experiment with computerized anamnesis in gynecology and reproductive health

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Abstract
The Hospital of the Faculty of Medical Sciences of the State University of Campinas [Sao Paulo, Brazil] is implementing an Integrated Health Care Programme, whose objectives are early detection of risk factors of several diseases and the evaluation of the patient''s reproductive health at the moment of the first visit to the Hospital. The initial results of this program encouraged us to try to apply it all to our own clientele. The present lack of material resources and qualified manpower leads us to concentrate all our attention on the patient''s immediate complaints. This situation indicated to us that the only way to implement the program should be by means of a computerized questionnaire able to detect diseases and risk factors early. This paper presents the preliminary results of the application of computerized questionnaires to evaluate health risks. The authors conclude: (1) The application of a computerized questionnaire met with very favorable reception by the clientele; (2) In some segments of the population, the questionnaire can be answered by the patients in direct interaction with the computer; (3) Programmes which evaluate risk factors need to be carefully revised before being put to use; (3) The system operates on a relatively low cost basis, which could bring undeniable benefits to primary health care.

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