临床决策支持系统在预防初级保健中风中的作用:系统性审查
Salha Fayea Alasiri1,2, Abdel Douiri3, Saffanah Altukistani4,5
1School of Population Health And Environmental Sciences, Kings College London.
Perspectives in health information management
|June 9, 2023
概括
计算机化临床决策支持系统 (CDSS) 帮助初级保健医生做出中风预防决策. 然而,在它们的设计,实施和使用方面存在挑战.
科学领域:
- 医疗信息学 医疗信息学
- 初级医疗保健医学 一级医疗保健医学
- 预防心血管疾病 预防心血管疾病
背景情况:
- 计算机化临床决策支持系统 (CDSS) 是临床医生在复杂的医疗保健场景中的重要工具.
- 本综述侧重于CDSS用于初级医疗机构中风预防.
- 了解实施障碍对于有效采用至关重要.
研究的目的:
- 系统地审查关于CDSS的证据,以预防初级保健中风.
- 识别这些系统实际实施的障碍.
主要方法:
- 在主要数据库 (Web of Science,Medline,Embase,Cinahl) 进行了系统的文献搜索.
- 综合了五项实验和观察研究.
主要成果:
- 发现CDSS支持在初级保健中预防中风的临床决策.
- 在CDSS的设计,实施和可用性方面发现了重大障碍.
结论:
- 在初级保健中,CDSS有效地促进了中风预防决策.
- 解决已识别的障碍对于成功的CDSS集成至关重要.
- 进一步的研究应侧重于克服实施挑战,以便更广泛地采用CDSS.
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