askmyGP evidence base, published papers

The history taking engine in askmyGP is known in the US as Instant Medical History (IMH), its acceptance by physicians demonstrated by some 700,000 patient histories taken online every day, of which 500,000 are in primary care.

In the UK Horton Thornley Medical Centre in Hyde, Manchester has pioneered the approach.

The comments from patients at Horton Thornley Medical Centre speak for themselves on its validity and acceptability to patients, an papers below explore Computer Patient Interviewing over four decades:

One of the first papers on the subject was published in 1966: Slack WV, Hicks GP, Reed CE, Van Cura LJ. A computer-based medical-history system. N Engl J Med. 1966 Jan 27; 274(4):194-8.

In 1997, Professor Ray Jones, then at Glasgow University, produced a report for the “NHS Information Management Group” on computer patient interviewing.

In 2003, John Bachman, Professor of Family Medicine at the Mayo Clinic, published a literature review of the subject.

2010, BMJ, Richard Smith reports Computers take histories better than doctors - liquorice and blood pressure among other questions.

In 2010, Professor Bachman published a paper describing his experience of 2,531 ‘e-visits’ from 4,282 patients at his clinic and demonstrated that in a significant number of instances a face to face consultation was not required.

“Because patients could enter any symptom or concern, ask questions, and provide additional comments, the e-visits eliminated the need for clinicians to ask for further information in most instances.”

Please view a video of Professor Bachman talking about this paper.

Presentation at Plymouth University by Professor Bachman, 2005, from 31 minutes into the video.

A shorter video on how Professor Bachman uses the system to improve efficiency and quality at his  Mayo clinic practice.  As patients are empowered, he explains the financial benefits to providers from time saved.

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