Acessibilidade / Reportar erro

AVALIAÇÃO MULTIFÁSICA E AUTOMÁTICA DE SAÚDE: MÉTODOS "OFF-LINE" E "ON-LINE"

Multiphasic and automatic health screening: offline and on-line methods

Resumos

Os métodos de avaliação da Saúde têm sofrido acentuadas modificações no decorrer do tempo. A introdução do computador digital eletrônico e a automatização do laboratório clínico permitiram que se atingisse, nos últimos anos, o processo denominado "Avaliação Multifásica e Automática da Saúde": "Multifásica", pelo fato de serem feitos vários exames (espirometría, ECG, audiometria, acuidade visual, provas de laboratório, etc.) e "Automática" pela utilização do computador, do Auto-Analyzer e de outros equipamentos similares. Os resultados dos exames podem ser avaliados pelo computador de duas maneiras: "on-line", quando os diversos aparelhos estão diretamente ligados à unidade de processamento; "off-line" quando os resultados são registrados preliminarmente em cartão perfurado, folha óptica, etc. As duas técnicas são descritas e exemplificadas com a experiência da Universidade de São Paulo (método "off-line") e de uma organização particular (método "on-line"), destacando-se a importância dessa metodologia na Medicina Preventiva.


The health screening methods have been suffering considerable modifications through the years. The introduction of the digital electronic computer and the clinical laboratory automation allowed us to reach a process known as "Multiphasic and Automatic Health Screening". "Multiphasic" because of the fact that various tests can be done (spirometry, E. C. G., audiometry, laboratory tests, etc.) and "Automatic" because of the utilization of the computer, the Auto-Analyzer and other similar equipments. The results of the various tests can be evaluated by the computer in two ways: "on-line", when various equipments are directly connected to the processing unit, "off-line" when the results are preliminarily registered in a punch card, mark sense page etc. The two tecniques are described and exemplified with the University of São Paulo experience (off-line method), and that of a private organization (on-line method), and the importance of that methodology in Preventive Medicine is emphasized.


Texto disponível apenas em PDF

BIBLIOGRAFIA

  • 1
    ANDERSON, J. A. & BOYLE, J. A. — A comparison of statistical techniques in the differential diagnosis of non-toxic goitre. Biometrics, 24: 103-16, mar. 1968.
  • 2
    BAILEY, N. T. J. — The mathematical approach to biology and medicine. New York, Willey, 1967. 296 p.
  • 3
    BARNOON, S. & WOLFE, H. — Measuring the effectiveness of medical decisions. An operations research approach. Springfield, Thomas, 1972. 229 p.
  • 4
    CANELO, C. R. et al. — A multiphasic screening survey in San José. Calif. Med., 71: 409-13, dec. 1949.
  • 5
    COLLEN, M. F. — Machine diagnosis from multiphasic screening program. In: IBM Medical Symposium, 5.°, Endicott, 7-11 oct. 1963. Proceedings, p. 131-153.
  • 6
    COLLEN, M. F. — Computers in preventive health services research. In: IBM Medical Symposium, 7.°, Poughkeepsie, 25-28 oct, 1965. Proceedings, p. 331-344.
  • 7
    DAVIS, L. S. — Computerized medical records in multiphasic testing. Computer, 6: 23-7, jul. 1973.
  • 8
    LINDEN, C. — Screening in a group practice prepaid medical care plan. As applied to periodic health examinations. J. Chron. Dis, 2: 400-8, oct. 1955.
  • 9
    LINDEN, C. Periodic health examinations using an automated multitest laboratory. J. Amer. med. Assoc., 195: 830-33, mar. 7. 1966.
  • 10
    LINDEN, C. Value of multiphasic health checkups. New Engl. J. Med., 280: 1072-73, may 8, 1969.
  • 11
    COORDENADORIA DA SAÜDE E ASSISTÊNCIA SOCIAL DA UNIVERSIDADE DE SÃO PAULO. — Relatório Geral de 1971. São Paulo, USP, 1972. v. 2, p. 23-59.
  • 12
    DE DOMBAL, F. T. et al. — Computer — aided diagnosis of acute abdominal pain. Brit. Med. J. 2: 9-13, apr. 1, 1972.
  • 13
    EDIT. — Streamlining health examinations — J. Amer. Med. Assoc., 137. 244, may 15, 1948.
  • 14
    FEINSTEIN, A. R. — Clinical judgement. Huntington, Krieger, 1968. 414 p.
  • 15
    FITZGERALD, L. T. & WILLIAMS, C. M. — Computer diagnosis of thyroid disease. Gainesville, Florida, University of Florida, Printing Office, 1964. 120 p.
  • 16
    FITZGERALD, L. T. et al. — A computer program for diagnosis of thyroid disease. Amer. J. Roentgenol, 97: 901-5, aug. 1966.
  • 17
    GLEDHILL, V. X. et al. — Computer aided diagnosis: a study of bronchitis. Meth. Inform. Med., 11: 228-32, 1972.
  • 18
    GRAMS, R. R. — Problem solving, system analysis and medicine. Springfield, Thomas, 1972. 225 p.
  • 19
    INSTITUTO DE SAÜDE E SERVIÇO SOCIAL DA UNIVERSIDADE DE SÂO PAULO. Atividades e Planos desenvolvidos no ano de 1970. São Paulo, USP, 1971. p. 112, 116, 152-156.
  • 20
    KURLANDER, A. B. et al. — An evaluation of some commonly used screening tests heart disease and hypertension. J. Chron. Dis., 2:427-39, oct. 1955.
  • 21
    LIPKIN, M. et al. — Digital computer as an aid to differential diagnosis. Use in hematologic diesases. Arch. Int. Med., 108: 56-72, jul. 1961.
  • 22
    LIPKIN, M. et al. — Computer — aided differential diagnosis of hematologic diseases. Ann. N. Y. Acad. Sci. 161: 670-679, sep. 30, 1969.
  • 23
    LODWICK, G. S. et al. — Computer diagnosis of primary bone tumors. Radiology, 80: 273-5, feb. 1963.
  • 24
    LODWICK, G. S. et al. — Computer — aided analysis of radiographic images. J. Chron. Dis. 19: 485-96, apr. 1966.
  • 25
    LUSTED, L. B. — Introduction to medical decision making Springfield, Thomas, 1968, 271 p.
  • 26
    PETRIE, L. M. et al. — Voluntary multiple health tests. J. Amer. Med. Assoc., 148: 1022-4, mar. 22, 1952.
  • 27
    RINALDO, J. A. et al. — Sympton diagnosis. A mathematical analysis of epigastric pain. Ann. Int. Med., 59: 145-54, aug. 1963.
  • 28
    RYDER, C. F. & GETTING, V. A. — Preliminary report on the health protection clinic. New; Engl. /. Med., 243: 227-80, aug. 17, 1950.
  • 29
    SMILLIE, W. G. — "Multiphasic" screening tests. J. Amer. Med. Assoc. 145: 1254, apr. 12, 1951.
  • 30
    STERN, R. B. et al. — Clinician versus computer in the choice of 11 differential diagnosis of Jaundice based on formalised data. Meth. Inform. Med., 13: 79-82, apr. 1974.
  • 31
    WARNER, H. R. et al. — A mathematical approach to medical diagnosis. Application to congenital heart disease. J. Amer. med. Assoc., 177: 177-83, Jul. 22, 1961.
  • 32
    WARNER, H. R. et al. — Experience with Bayes'theorem for computer diagnosis of congenital heart disease. Ann. N. Y. Acad. Sci., 115: 558-67, Jul. 31, 1964.
  • 33
    WILSON, J. M. & JUNGNER, G. — Principles and practice of screening for disease. Geneva, WHO, 1968 (Public Health Papers, n.° 34) 163 p.
  • 34
    WILSON, W. J. et al. — The computer analysis and diagnosis of gastric ulcers. Radiology, 85: 1064-73, dec. 1965.
  • 35
    YARNALL, S. R. & WAKEFIELD, J. S. — Acquisition of the history database. Medical Computer Services Association, 1972. 250 p.

Datas de Publicação

  • Publicação nesta coleção
    Dez 1976
Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br