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Biomedical subjects

N F Chan

Publications and source records attributed to N F Chan.

6 recordsLinked to original sources
PubMed1999

A survey of elderly diabetic patients attending a community clinic in Hong Kong.

A cross-sectional survey was conducted on Chinese diabetic patients attending a community clinic in Hong Kong. A questionnaire, physical examination and blood tests were administered. Of 155 adults with diabetes mellitus recruited, the mean age was 63 years (SD 10.3), 77.4% were female and 41.9% illiterate. Half the patients achieved adequate knowledge scores. Knowledge was found to be associated with education level (OR 4.3, 95% CI 1.8, 10.0), longer disease duration (OR 3.2, 95% CI 1.4, 7.4) and complications (OR 0.3, 95% CI 0.1, 0.8). No correlation was found between knowledge and attitude or practice. Attitude was found to be associated with practice (OR 1.2, 95% CI 1.0, 1.3) and male gender (OR 2.9, 95% CI 1.1, 7.5); practice was associated with hypertension (0.5, 95% CI 0.2, 0.9). Older less educated Chinese diabetic patients can be educated about diabetes management, but knowledge does not always translate into practice.

Adult↗
PubMed1998

Experience with portfolio-based learning in family medicine for master of medicine degree.

BACKGROUND: The Private Practitioners Stream (PPS) of the Family Medicine Traineeship Programme for the Master of Medicine (Family Medicine) (MMed (FM)) was started in 1995. The portfolio-based learning approach was used as the staple learning method in the tutorial system. Due to the autonomy given to Family Medicine trainees in choosing the topics for the portfolio-based presentations, the completeness of coverage of the Family Medicine training syllabus is a research question. AIM: To study if portfolio-based presentations in a tutorial system covered the broad based Family Medicine training syllabus. METHOD: Data in the one-page portfolio-based records developed were used to categorise the presentations according to the topics in the Family Medicine Modular Course. RESULTS: In the three-year period since the introduction of the PPS, 83 tutorials were conducted in which 87 portfolio-based presentations were made. Thirteen (15%) were in the Whole Person Medicine category, 70 (80%) in the Disease Management category and 4 (5%) in the Practice Management category. CONCLUSION: The portfolio-based learning is recognised as useful in continuing medical education because of the autonomy it gives to the adult learner. In our three years' experience, the one-page portfolio-based record developed was effective as the staple learning tool to cover the broad range of topics required in the defined syllabus of training and to meet the focus of the MMed(FM) examination.

Adult↗
PubMed1989

Opportunistic research in general practice using a low cost microcomputer based medical record system as a tool.

A low cost microcomputer-based medical record system was used to facilitate opportunistic research projects in the teaching clinic of the Chinese University of Hong Kong. An example of an actual clinical trial comparing the effectiveness of three methods of teaching breast self-examination to clinic patients was used and the process of setting up the research protocol, the sampling of patients, and the analysis of early results after one and a half years were described. It was found that the sampling bias in opportunistic research was that subjects selected were more likely to be older with more problems, and have a higher attendance rate at the clinic. The bias could be corrected during the analysis of data by stratifying the selected sample into groups of different attendance rates. Another potential sampling bias was due to non-compliance of both the patients and the clinical staff. However, it was found to be possible to obtain useful results from opportunistic research. It was easy to implement this type of research with the help of a computerized medical record system.

Adult↗
PubMed1988

Implementation of a microcomputer-based opportunistic health maintenance programme in a general practice teaching clinic.

The general practice teaching clinic at the Chinese University of Hong Kong uses a microcomputerbased medical record system. To implement a uniform and up-to-date health maintenance programme, a set of protocols has been written for a list of health maintenance items, and the computer has been programmed to identify the items which should be carried out at each patient encounter. Over a period of 16 months, after the start of this programme, 99% of the 1120 clinic patients had a minimum of two items performed. Of a selected sample of 203 patients 119 attended the clinic more than once in the same period and 47% of these patients had all of the health maintenance items recommended for their age and sex group completed. Abnormal screening results led to action by the general practice team. The process of implementing a health maintenance programme has helped the team to discuss current recommendations and to agree on standards. The programme has also helped with undergraduate teaching. The automated opportunistic health maintenance programme is a practical tool for improving patient care.

Adolescent↗
PubMed1987

A microcomputer-based computerized medical record system for a general practice teaching clinic.

A low-cost and user-friendly computerized medical record system that includes patient demographic data, family genogram and social information, problem list, medication list and repeat prescription, progress notes, and laboratory data has been developed for a general practice teaching clinic. The system also has an automated health maintenance and disease management package, a number of research report programs, and a basic accounting package. The computerized medical record system has provided a very valuable tool for improving patient care, teaching, and general practice research. A standard software package has been developed for other small to medium-sized practices to use without having to redevelop their own software.

Computers↗