scholarly journals Guideline-Based Decision Support Systems for Prevention and Management of Chronic Diseases

Author(s):  
Niels Peek
2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Roshanak Tirdad ◽  
Piruz Nami ◽  
Shayan Samieyan ◽  
Fakher Rahim

Context: Chronic diseases (CD) are defined as symptoms or disabilities, caused by diseases, genetic factors, and injury requiring long-term treatment. Intelligent alarm systems, which collect patient health data and transfer it to a medical server, help track and avoid future incidents. Method: The search terms were “computer network” OR “information systems” OR “wireless technology” OR “decision support systems” AND “chronic disease” OR “chronic disease” in major electronic databases, including Pubmed/Medline, Scopus, Embase, ISI Web of Science, and Cochrane Central. Results: The search resulted in 1275 articles with 11 specific to intelligence-based systems in chronic medical conditions until 08 June 2021. The creation of different access levels for care providers in the system and application customization according to CD conditions were the goals that can be achieved in future research. The human-computer interface (HCI) systems, smart home, and software, such as Fitbit using IoMT to monitor health metrics in people with different CDs, are introduced so far. Conclusions: These systems, if provided on the web and mobile platform, can be accessed at any time and place and are more efficient. Finally, the combination of clinical decision support systems with artificial intelligence has beneficial effects on physician's systems, increases the accuracy in CD diagnosis, and improves the pain management. This intelligent system demonstrates factors influencing back to work and allows identifying high-risk patients and their potential to handle activities of daily living.


Author(s):  
Taku Harada ◽  
Taiju Miyagami ◽  
Kotaro Kunitomo ◽  
Taro Shimizu

Diagnosis is one of the crucial tasks performed by primary care physicians; however, primary care is at high risk of diagnostic errors due to the characteristics and uncertainties associated with the field. Prevention of diagnostic errors in primary care requires urgent action, and one of the possible methods is the use of health information technology. Its modes such as clinical decision support systems (CDSS) have been demonstrated to improve the quality of care in a variety of medical settings, including hospitals and primary care centers, though its usefulness in the diagnostic domain is still unknown. We conducted a scoping review to confirm the usefulness of the CDSS in the diagnostic domain in primary care and to identify areas that need to be explored. Search terms were chosen to cover the three dimensions of interest: decision support systems, diagnosis, and primary care. A total of 26 studies were included in the review. As a result, we found that the CDSS and reminder tools have significant effects on screening for common chronic diseases; however, the CDSS has not yet been fully validated for the diagnosis of acute and uncommon chronic diseases. Moreover, there were few studies involving non-physicians.


1996 ◽  
Vol 35 (01) ◽  
pp. 1-4 ◽  
Author(s):  
F. T. de Dombal

AbstractThis paper deals with a major difficulty and potential limiting factor in present-day decision support - that of assigning precise value to an item (or group of items) of clinical information. Historical determinist descriptive thinking has been challenged by current concepts of uncertainty and probability, but neither view is adequate. Four equations are proposed outlining factors which affect the value of clinical information, which explain some previously puzzling observations concerning decision support. It is suggested that without accommodation of these concepts, computer-aided decision support cannot progress further, but if they can be accommodated in future programs, the implications may be profound.


1993 ◽  
Vol 32 (01) ◽  
pp. 12-13 ◽  
Author(s):  
M. A. Musen

Abstract:Response to Heathfield HA, Wyatt J. Philosophies for the design and development of clinical decision-support systems. Meth Inform Med 1993; 32: 1-8.


2006 ◽  
Vol 45 (05) ◽  
pp. 523-527 ◽  
Author(s):  
A. Abu-Hanna ◽  
B. Nannings

Summary Objectives: Decision Support Telemedicine Systems (DSTS) are at the intersection of two disciplines: telemedicine and clinical decision support systems (CDSS). The objective of this paper is to provide a set of characterizing properties for DSTSs. This characterizing property set (CPS) can be used for typing, classifying and clustering DSTSs. Methods: We performed a systematic keyword-based literature search to identify candidate-characterizing properties. We selected a subset of candidates and refined them by assessing their potential in order to obtain the CPS. Results: The CPS consists of 14 properties, which can be used for the uniform description and typing of applications of DSTSs. The properties are grouped in three categories that we refer to as the problem dimension, process dimension, and system dimension. We provide CPS instantiations for three prototypical applications. Conclusions: The CPS includes important properties for typing DSTSs, focusing on aspects of communication for the telemedicine part and on aspects of decisionmaking for the CDSS part. The CPS provides users with tools for uniformly describing DSTSs.


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