Journal of Medical Systems

, Volume 10, Issue 3, pp 265–269 | Cite as

Dissemination of COSTAR

Promises and realities
  • Barbara D. Kerlin


COmputer-STored Ambulatory Record (COSTAR) is an automated medical record, fiscal management and reporting system, developed in the mid-1970s for use in ambulatory care settings. Its flexibility, full functionality, low cost, and transportability held great promise for wide system dissemination in the 1980s. Reportedly, over 150 health organizations have installed COSTAR worldwide. In reality, this number represents a small fraction of the potential market. Several factors are listed below as contributing to the slower than expected dissemination. Of major importance may be that COSTAR—written in the MUMPS language—could not be installed on IBM hardware. Recently, however, third-party software houses announced MUMPS operating systems that allow COSTAR to run in a multiuser environment on the IBM PC/AT. Developments in the microcomputer field that may impact on the dissemination of COSTAR are described in this paper in addition to early experiences at MITRE with COSTAR on the IBM PC/AT.


Medical Record Care Setting Early Experience Reporting System Great Promise 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Notes and references

  1. 2.
    Kerlin, B. D., Changes and challenges of the 80s in automating federally funded ambulatory care clinics.Proceedings of the Ninth Annual Symposium for Computer Applications in Medical Care, 1985, pp. 3–6.Google Scholar
  2. 3.
    Dayhoff, R. E., Computer hardware for which MUMPS implementations exist.MUG Q. 11(1):12, 1981.Google Scholar
  3. 4.
    Beaman, P. D., Lison, H. G., and Zywiak, W., DataTree MUMPS: New products for 1985.MUG Q. 14(3):19, 1985.Google Scholar
  4. 5.
    May, R. T., Marcus, D. J., and Schoch, B. P., MSM-PC: A MUMPS compiler designed for flexibility.MUG Q. 14(4):54, 1985.Google Scholar

Copyright information

© Plenum Publishing Corporation 1986

Authors and Affiliations

  • Barbara D. Kerlin
    • 1
  1. 1.The MITRE CorporationMcLean

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