Journal of Medical Systems

, Volume 18, Issue 6, pp 335–342 | Cite as

Hospital information system and patterns of cancer screening

  • Kiumarss Nasseri
  • Roshan Bastani
  • Sol Bernstein
  • Lester Breslow
Articles

Abstract

Relative ease, implied accuracy, and unprecedented possibilities of computerized health care information systems, is very tempting for researchers. Attempts at determining the referral patterns for cancer screening at a large county hospital through the use of computerized administrative and clinical files, and some of the problems encountered is reported here. Only 17% of women over 18, and 16% of women over 50 who visited this hospital were referred and received screening for cervical and breast cancer, respectively. Pap testing was concentrated at clinics dealing with reproductive health, and women with higher visit frequencies had a higher referral rate. Major problems encountered were lack of uniformity in capturing information for similar variables in different files, inconsistency in capturing data elements, and partial coverage. To enhance capabilities of computerized health information system, following principles must be incorporated in the designs: complete coverage, uniform collection of data across time and files, and inclusion of linking capabilities.

Keywords

Cancer Screening Hospital Information System Health Information System Visit Frequency County Hospital 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Maronde, R.F., Chan, L.S., Larsen, F.J., Strandberg, L.R., Laventurier, M.F., and Sullivan, S.R., Underutilization of antihypertensive drugs and associated hospitalization.Medical Care 27:1159–66, 1989.Google Scholar
  2. 2.
    Keyes, M., Andrews, R., and Mason, M.L., A methodology for building an AIDS research file using medical claims and administrative data bases.J. AIDS, 4:1015–24, 1991.Google Scholar
  3. 3.
    Cohen, M.M., Roos, N.P., MacWilliam, L., and Wajda, A. Assessing physicians' compliance with guidelines for Papanicolaou testing.Medical Care 30:514–28, 1992.Google Scholar
  4. 4.
    Potosky, A.L., Riley, G.F., Lubitz, J.D., Mentnech, R.N., and Kessler, L.G., Potential for cancer related health services research using a linked Medicare-Tumor registry database.Medical Care 31:732–748, 1993.Google Scholar
  5. 5.
    Miller, A.B., The cost effectiveness of cervical cancer screening.Annals Int. Med. 117:529–30, 1992.Google Scholar
  6. 6.
    Miller, A.B., Knight, J., and Narod, S., The natural history of cancer of the cervix and the implications for screening policy. In A.B. Miller, J. Chamberlain, N.E. Day, M. Hakama, and P.C. Prorok (eds.),Cancer Screening, Cambridge University Press, Cambridge; 1991, pp. 141–52.Google Scholar
  7. 7.
    Hakama, M., Mangus, K., Petterson, F., Storm, H., Tulinus, H. Effects of organized screening on the risk of cervical cancer in Nordic countries. In A.B. Miller, J. Chamberlain, N.E. Day, M. Hakama, and P.C. Prorok (eds.),Cancer Screening Cambridge University Press, Cambridge; 1991, pp. 153–62.Google Scholar
  8. 8.
    Forrest, A.P.M., and Aitken, R.J., Mammography screening for breast cancer.Annu. Rev. Med. 41:117–32, 1991.Google Scholar
  9. 9.
    Healthy People 2000. National Health Promotion and Disease Prevention Objectives. Washington, D.C.: U.S. Department of Health and Human Services.Public Health Service 72: 1990.Google Scholar
  10. 10.
    Perkins, C.I., Utilization of cancer screening in California, 1988–1991: Behavioral risk factor survey. California Department of Health Services.Cancer Surveill. Sect. 1992.Google Scholar
  11. 11.
    Miller, R.G., Jr.,Simultaneous Statistical Inference, Springer Verlag, New York: 1981.Google Scholar
  12. 12.
    Siddharthan, K., and Alalasundaram, S., Undocumented aliens and uncompensated care? Whose responsibility?Am. J. Pub. Health 83:410–12, 1993.Google Scholar
  13. 13.
    Grumbach, K., Keane, D., Bindman, A., Primary care and public emergency department overcrowding.Am. J. Pub. Health 83:372–78, 1993.Google Scholar
  14. 14.
    American Cancer Society. Cancer Facts & Figures 1993.Am. Cancer Soc. 21: 1993Google Scholar

Copyright information

© Plenum Publishing Corporation 1994

Authors and Affiliations

  • Kiumarss Nasseri
    • 1
  • Roshan Bastani
    • 1
  • Sol Bernstein
    • 2
  • Lester Breslow
    • 1
  1. 1.From the Jonsson Comprehensive Cancer Center, Division of Cancer ControlUniversity of CaliforniaLos Angeles
  2. 2.LAC + USC (Los Angeles County + University of Southern California) Medical Center Los Angeles

Personalised recommendations