Building a tobacco intervention system in managed care
How a real time clinical data retrieval system might be applied to a tobacco cessation program
James N Weinstein
Center for
Evaluative Studies, Dartmouth Medical School, 7251 Strasenburgh Hall,
Hanover, NH 03755, USA
james.weinstein@dartmouth.edu
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We all live in a community or society, and in health care we work within a macro-organisation in that society, in this case the hospital. The microsystem is a unit that functions within the macro-organisation to affect patients on the individual and population level. Patients are at the centre of this society and function inside and outside of the health care microsystem in order to sustain themselves.
The use of real time data collection and transfer in the microsystem of the clinical environment can be a very effective tool within the health care system.
This real time use of information in our microsystem at the
Dartmouth-Hitchcock Medical Center plays a unique role in the delivery
of health care, and introduces an intervention model that can be used
effectively to help those involved desist from smoking. We believe the
microsystem model in which technology (touch pad computers) is
incorporated provides a
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