P30 - eviDoctor - Approaching the evidence to medical practice
EviDoctor is a system, a service and a space of information, education and communication for doctors working in outpatient settings.
Its objectives are:
- to support doctors in clinical practice, based on the best scientific evidences presently available, and adapted to local health reality;
- to incorporate learning to their practice;
- to help them in reaching a more active role of patients on decisions and management of chronic diseases, by means of education.
- to facilitate and stimulate communication among peers.
It is a private initiative beginning in August 2004, with strong academic basis given by the medical, documentary, pedagogical and computer science team, by the projects developed jointly with the Universidad de la República, by the support of the Ministry of Education and Culture’s Program of Technological Development and by the endorsement of the Technological Laboratory of Uruguay.
It is composed by two elements:
- an Electronic Medical Record for outpatients settings;
- an Information and Documentation Service.
The Information and Documentation Service has the support of a Scientific Committee composed by internal medicine experts, for the selection of subjects and their corresponding pedagogical axes, and a set of specialists for document elaboration, electronic clinical rounds and meetings coordination.
Documents are focused on those aspects of practice presenting difficulties, and reach users in a weekly electronic newsletter, including papers, articles reviews, patient education materials, selected texts and web sites and cases for clinical rounds, and also a cronogram of events and health news.
Documents included to the data base are indexed in a tree structure (main subject - related subjects) using DeCS terms, are related to each other and when applicable, associated to a diagnosis according to the International Classification of Diseases 10 edition.
Access to the system is made from a computer program or through EviDoctor’s Web page (http://www.evimed.net).
Document retrieval may be made by text free search, by subject or through the weekly newsletter. Eletronic medical records include an alert that allows doctors to know during consultation which documents are related to the diagnosis of the patient. In addition, the system provides statistics of document consultation.