Computerized urological history taking: Its development and application in an open access Incontinence Resource Center

Abstract

A computer system has been developed to take a full urological history including incontinence. The development and eventual implementation on IBM-compatible machines is described. Patients answer questions with a light pen and in this way the history is built up. A printout is produced with the history and recommendations for initial investigations. Contraindications to investigations are highlighted and warnings generated. Over 600 patients have used the urology program to their satisfaction and that of the referring doctor. The computer does not replace the clinician but allows better use of the specialist's time with the patient to fine tune the history and assess the individual's attitude, perception, and concerns. The system uses a database package to facilitate development.

Having been impressed by the high level of acceptance and quality of information, we have introduced a modified system custom-designed to serve our open access Incontinence Resource Center.