Séroussi B, Bouaud J
STIM, DPA/DSI/AP-HP & INSERM ERM202, Paris, France.
Stud Health Technol Inform. 2004;101:142-6.
ASTI is a guideline-based decision support system for therapeutic prescribing in primary care with two modes of interaction. The "critic mode" operates as a reminder system to detect non guideline-compliant physician drug orders, whereas the "guided mode" operates on demand and provides physician guidance to help her establishing best recommended drug prescriptions for the management of hypertension. A preliminary evaluation study was conducted with 10 GPs to test the complementary nature of both modes of decision support. Results tend to validate our assumption that reminder-based interaction is appropriate for simple cases and that physicians are willing to use on-demand systems as clinical situations become more complex.
ASTI是一个基于指南的基层医疗治疗处方决策支持系统，具有两种交互模式。“批评模式”作为一种提醒系统，用于检测不符合指南的医生药物处方，而“引导模式”按需运行，并为医生提供指导，以帮助她制定治疗高血压的最佳推荐药物处方。对10名全科医生进行了一项初步评估研究，以测试这两种决策支持模式的互补性。结果倾向于验证我们的假设，即基于提醒的交互适用于简单病例，并且随着临床情况变得更加复杂，医生愿意使用按需系统。
