Development of a Taiwanese computerized database for psychiatric consultation in a general hospital

Chiu, Nien-Mu; Strain, James J.; Sun, Tzan-Fu; Strain, Jay J.; Yu Lee,; Chong, Mian-Yoon; Wen, Jung-Kwang

doi:10.1016/j.genhosppsych.2005.02.006

« Previous Next »General Hospital Psychiatry
Volume 27, Issue 4 , Pages 292-297, July 2005

Development of a Taiwanese computerized database for psychiatric consultation in a general hospital

Nien-Mu Chiu, M.D.
- Department of Psychiatry, Chang Gang Memorial Hospital, Kaohsiung, 123 Ta-Pei Road, Niao-Sung Hsiang, Kaohsiung County 833, Taiwan
- Department of Nursing, Fooyin University of Technology, Ta-Liao Hsiang, Kaohsiung County 831,Taiwan
James J. Strain, M.D.
- Division of Behavioral Medicine and Consultation Psychiatry, Mount Sinai School of Medicine, Mount Sinai—NYU Medical Center/Health System, 1 Gustave L. Levy Place, New York, NY 10029, USA
Tzan-Fu Sun, M.D.
- Department of Psychiatry, Chang Gang Memorial Hospital, Kaohsiung, 123 Ta-Pei Road, Niao-Sung Hsiang, Kaohsiung County 833, Taiwan
- Corresponding author. Tel.: +886 7 7317123x8768; fax: +886 7 7326817.
Jay J. Strain, M.D.
- Department of Surgery, Eden Hospital, Castro Valley, CA, USA
Yu Lee, M.D.
- Department of Psychiatry, Chang Gang Memorial Hospital, Kaohsiung, 123 Ta-Pei Road, Niao-Sung Hsiang, Kaohsiung County 833, Taiwan
Mian-Yoon Chong, M.D., Ph.D., M.R.C. Psych.
- Department of Psychiatry, Chang Gang Memorial Hospital, Kaohsiung, 123 Ta-Pei Road, Niao-Sung Hsiang, Kaohsiung County 833, Taiwan
Jung-Kwang Wen, M.D.
- Department of Psychiatry, Chang Gang Memorial Hospital, Kaohsiung, 123 Ta-Pei Road, Niao-Sung Hsiang, Kaohsiung County 833, Taiwan

Received 16 November 2004; accepted 24 February 2005.

Abstract

Objective

The aim of this study was to evaluate the applicability of a modified questionnaire in psychiatric consultation and a new computerized software at one general hospital in Taiwan.

Method

The Micro-Cares Clinical Information System for Consultation/Liaison Psychiatry (CISCL), an English language-based patient management application, has multiple clinical variables that were translated into Mandarin Chinese. The Mandarin Chinese version of the Micro-Cares Questionnaire (MCMQ) was further modified after extensive testing and clinical use by two staff psychiatrists and eight senior resident doctors. In addition, the structure of the Mandarin Chinese version of the Micro-Cares CISCL Program (MCMP) was created for direct information entry through a specialized Microsoft Access-based support module.

Results

The MCMQ has been adapted to regular medical practice. Up to 66% of the consultation cases (618/913 patients) were recorded in 2003. Among those registered, 519 (84%) received psychiatric diagnoses. Eight of the 10 participants evaluated agreed that the MCMQ was clinically applicable.