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The seven key challenges for life-critical shared decision making systems
Evangelos Triantaphyllou1, Juri Yanase2
1Division of Computer Science & Engin, College of Engineering, Louisiana State University, Baton Rouge, LA, 70803, USA; Department of Medicine, Section of Hematology & Med Oncology, School of Medicine, Tulane University, New Orleans, LA, 70112, USA.
International Journal of Medical Informatics
|January 31, 2021
Summary
Shared decision making (SDM) for life-critical conditions is underdeveloped due to challenges in decision models, data, and stakeholder roles. Addressing these is vital for improving patient care and treatment selection.
Area of Science:
- Medical Decision Making
- Health Informatics
- Patient-Centered Care
Background:
- Shared decision making (SDM) for life-critical conditions is crucial but underdeveloped.
- Significant challenges hinder the development and implementation of life-critical SDM.
- This study aims to identify these impeding challenges.
Purpose of the Study:
- To identify key challenges in the development and use of life-critical shared decision making.
- To provide insights for enhancing SDM in critical healthcare scenarios.
- To inform future research and development in this critical area.
Main Methods:
- Hybrid research combining systematic and narrative review.
- Analysis of author's previous work on six published papers (2 systematic, 4 narrative reviews).
- Inclusion of topics: computer-aided diagnosis, health state utilities, and treatment selection for critical diseases.
Main Results:
- Key challenges identified in mathematical decision models and data inputs.
- Challenges related to the patient's role within the SDM framework.
- Issues concerning healthcare professionals' roles, rules, and regulations in life-critical SDM.
Conclusions:
- Life-critical SDM is paramount but faces significant obstacles.
- Urgent developments are needed for life-critical SDM to be widely accepted and effective.
- Seven key challenges and future research directions are proposed to advance life-critical SDM.
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