Digitalising Clinical Guidelines: The Challenge of Patient's Preferences
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View abstract on PubMed
Summary
This summary is machine-generated.Digital clinical guidelines may conflict with personalized patient care due to embedded preferences in disease definitions. Removing these preferences is crucial for reconciling computable guidelines with individualized treatment.
Area Of Science
- Health Informatics
- Clinical Decision Support
- Personalized Medicine
Background
- Digitalisation of clinical guidelines aims to improve healthcare delivery.
- Personalised patient care requires consideration of individual preferences.
- Current guidelines may embed non-neutral preferences within disease definitions.
Purpose Of The Study
- To assess the compatibility of digitalised clinical guidelines with personalised patient care.
- To identify embedded preferences in disease definitions within clinical guidelines.
- To explore the implications of these preferences for patient-centred care.
Main Methods
- Case study focusing on bone health and osteoporosis definitions.
- Analysis of diagnostic and intervention thresholds in UK clinical guidelines.
- Examination of the influence of expert consensus and cost-effectiveness on guideline development.
Main Results
- The definition of osteoporosis relies on a 1992 expert committee's preference for a bone mineral density threshold.
- UK clinical guidelines adopt this diagnostic threshold and incorporate preference-sensitive intervention thresholds.
- These embedded preferences preempt patient choices, hindering personalised care.
Conclusions
- Digitalised guidelines face conceptual challenges in accommodating personalised care.
- Embedded preferences in disease definitions must be addressed for computable guidelines to support individualised patient care.
- Future digitalisation efforts should focus on both technical and conceptual aspects to enable true personalised medicine.
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