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Patient-centered Care01:13

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Personalization and Patient Involvement in Decision Support Systems: Current Trends.

S Quaglini1, L Sacchi, G Lanzola

  • 1Silvana Quaglini, Department of Electrical, Computer, and Biomedical Engineering, University of Pavia, Via Ferrata 5, 27100 Pavia, Italy, Tel: +39 0382 985058, Fax: +39 0382 985060,

Yearbook of Medical Informatics
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PubMed
Summary
This summary is machine-generated.

This review highlights trends in medical Information and Communication Technologies (ICT) based decision support systems (DSSs) from 2012-2014. While evolving, patient-centered care DSSs are not yet widely available.

Keywords:
Decision support systemsclinicaldecision aidsdecision makingpatient empowermentpatient-centered careshared

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Area of Science:

  • Medical Informatics
  • Health Information Technology
  • Clinical Decision Support

Background:

  • The development and evaluation of Information and Communication Technologies (ICT) based decision support systems (DSSs) in medicine have rapidly evolved.
  • Focus has increasingly shifted towards patient-centered and personalized care models.

Purpose of the Study:

  • To survey the latest trends (2012-2014) in the development, use, and evaluation of ICT-based DSSs in medicine.
  • To specifically highlight advancements in patient-centered and personalized care within these systems.

Main Methods:

  • A systematic literature review of papers published in scientific journals.
  • Searches were conducted on PubMed and Web of Science, including studies on ICT-based tools in clinical practice and computerized physician order entry systems (CPOEs).

Main Results:

  • 73 papers on DSSs and 72 on CPOEs were identified.
  • Decision support often involves recommendations (28/53) or efficient information presentation (25/53).
  • Patient participation (9/53) and integration with hospital systems remain limited, with cancer being the most represented medical area (12%).

Conclusions:

  • Medical DSSs show advancements in patient communication, economic/organizational impact consideration, and knowledge representation.
  • Despite progress, widespread availability of patient-centered care DSSs is still lacking.