从工作流执行模型中确定了以患者为中心的临床决策支持挑战和机会
Dean F Sittig1, Aziz Boxwala2, Adam Wright3
1Department of Clinical and Health Informatics, University of Texas Health Science Center, Houston, TX 77030, United States.
概括
新模型强调了以患者为中心的临床决策支持 (PC CDS) 的挑战和机遇. 实施PC CDS需要更新的政策,流程,技术和专业知识来管理患者生成的健康数据 (PGHD) 和远程设备.
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
- 医疗保健政策 医疗保健政策
背景情况:
- 以患者为中心的临床决策支持 (PC CDS) 正在发展.
- 新的工作流需要更新的政策,流程,技术和专业知识.
- 整合患者生成的健康数据 (PGHD) 面临着独特的挑战.
研究的目的:
- 为PC CDS开发工作流执行模型.
- 确定实施以患者为中心的护理的关键考虑因素.
- 突出新PCCDS政策和基础设施的要求.
主要方法:
- 有针对性的文献评论.
- 与6名PC CDS专家进行了关键信息员采访.
- 模型由作者改进,并由26名成员的指导委员会验证.
主要成果:
- 确定了PC CDS实施的7个主要挑战和机会.
- 突出需要管理PGHD (包括PRO) 和患者在连接设备上的教育.
- 强调了EHR集成,数据故障排除,纵向数据仪表板,报销和远程设备支持的要求.
结论:
- 安全有效的PC CDS实施需要新的政策,流程,技术和专业知识.
- 解决已确定的挑战将促进以患者为中心的护理的积极影响.
- 持续使用PC CDS的经验将完善其对患者健康的长期益处.
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