一个生命周期框架说明了实现以患者为中心的临床决策支持的好处所需的八个阶段
Dean F Sittig1, Aziz Boxwala2, Adam Wright3
1McWilliams School of Biomedical Informatics, University of Texas Health Science Center at Houston, Houston, Texas, USA.
概括
一个新的框架指导着以患者为中心的临床决策支持 (PC CDS) 系统的发展. 这一框架确保了患者在各个阶段的参与,以实现医疗保健的五重目标.
科学领域:
- 医疗信息学 医疗信息学
- 临床决策支持系统 临床决策支持系统
- 以患者为中心的护理
背景情况:
- 实现医疗保健的五重目标需要高质量的以患者为中心的临床决策支持 (PC CDS).
- 有效的PC CDS需要不同利益相关者之间有一个共同的理解和语言.
- 目前的方法可能无法在整个CDS生命周期中充分整合患者的观点.
研究的目的:
- 引入以患者为中心的临床决策支持 (PC CDS) 生命周期框架.
- 促进研究人员,患者,临床医生和政策制定者之间的共享理解和沟通.
- 强调患者参与在PC CDS的所有阶段的关键作用.
主要方法:
- 开发一个概念框架,说明PC CDS生命周期.
- 生命周期中的八个关键阶段的识别和定义.
- 强调患者和/或护理人员在每个阶段的中心作用.
主要成果:
- 拟议的框架将患者/护理人员置于PC CDS生命周期的中心.
- 它概述了八个相互关联的阶段:可计算的临床知识,患者特定的推断,信息传递,临床决策,患者行为,健康结果,汇总数据和以患者为中心的结果研究 (PCOR) 证据.
- 该框架强调了社会技术的复杂性和利益相关方参与的必要性.
结论:
- 实施PC CDS生命周期框架对于实现五重目标至关重要.
- 在每个阶段明确的患者和临床医生的参与对于成功的PCCDS至关重要.
- 该框架作为开发,部署和评估有效PC CDS的指南.
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