对临床决策支持系统的范围审查,新型分类学和实施框架目录
Jared M Wohlgemut1,2, Erhan Pisirir3, Rebecca S Stoner1,2
1Centre for Trauma Sciences, Blizard Institute, Queen Mary University of London, London, UK.
BMC medical informatics and decision making
|November 2, 2024
概括
本综述综合了临床决策支持系统 (CDSS) 的实施框架,创建了一个分类法来突出研究领域. 它确定了最多研究的阶段是接受/整合,最少研究的阶段是设计/开发.
科学领域:
- 医疗信息学 医疗信息学
- 实施科学 实施科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 临床决策支持系统 (CDSS) 的实施面临挑战,许多框架已发布以指导采用.
- 对于共同开发者来说,选择合适的框架可能很困难.
- 本次审查解决了对现有CDSS实施框架的结构化概述的需求.
研究的目的:
- 将CDSS实施框架的关键域和子域综合成一个新的分类学.
- 在这些框架内确定研究最多和最少的领域.
- 评估框架的使用频率,应用,并按实施阶段对它们进行目录.
主要方法:
- 对五个主要数据库 (PubMed,Scopus,Web of Science,PsycInfo,Embase) 进行了全面的范围审查.
- 框架根据它们所涉及的实施阶段进行分类:设计/开发,评估,接受/整合以及采用/维护.
- 关键的框架组件被分为域和子域,以创建分类学.
主要成果:
- 在3550个标题中,58篇论文被纳入了评论中.
- 最多研究的实施阶段是接受和整合;设计和开发是最少研究的.
- 实施研究综合框架是最常用的框架.
结论:
- 提供了CDSS实施框架领域的新分类,以及使用描述和按实施阶段编制的目录.
- 未来的研究应该集中在详细描述CDSS设计的最佳实践和验证现有框架.
- 建议加强临床和非临床利益相关者之间的合作,以推动该领域的发展.
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