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Computer Support for Elderly Women With Breast Cancer
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To the Editor.—CHESS, the Comprehensive Health Enhancement Support System, provides patient education through a personal computer in the home. Patients read detailed articles, tutorials about services, and brief answers to many questions; anonymously question experts; communicate with and read accounts of other patients; monitor health status; and receive help making and implementing decisions (http://chess.chsra.wisc.edu).
Methods
In 1997, we conducted an institutional review board–approved study of CHESS for elderly women with breast cancer. We approached 51 surgeons in 5 Wisconsin counties from 12 clinics, 10 hospitals, and 7 health maintenance organizations and hoped to have all surgeons refer all eligible women and have each of those patients use CHESS. We maximized enrollment with help from community leaders and the media and spoke with all surgeons and nursing staff.
Women had to be Medicare eligible, have a diagnosis of breast cancer within 4 months, be able to read and provide . . . [Full Text of this Article]
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