Bricon-Souf Nathalie, Newman Conrad R
Centre d'Etude et de Recherche en Informatique Médicale, Université de Lille2, 59045 Lille, France.
Int J Med Inform. 2007 Jan;76(1):2-12. doi: 10.1016/j.ijmedinf.2006.01.003. Epub 2006 Feb 20.
Health care systems will integrate new computing paradigms in the coming years. Context-awareness computing is a research field which often refers to health care as an interesting and rich area of application.
Through a survey of the research literature, we intended to derive an objective view of the actual dynamism of context awareness in health care, and to identify strengths and weaknesses in this field.
After discussing definitions of context, we proposed a simple framework to analyse and characterize the use of context through three main axes. We then focused on context-awareness computing and reported on the main teams working in this area. We described some of the context-awareness projects in health care. A deeper analysis of the hospital-based projects demonstrated the gap between recommendations expressed for modelling context awareness and the actual use in a prototype. Finally, we identified pitfalls encountered in this area of research.
A number of opportunities remain for this evolving field of research. We found relatively few groups with such a specific focus. As yet there is no consensus as to the most appropriate models or attributes to include in context awareness. We conclude that a greater understanding of which aspects of context are important in a health care setting is required; the inherent sociotechnical nature of context-aware applications in health care; and the need to draw on a number of disciplines to conduct this research.
未来几年，医疗保健系统将整合新的计算范式。情境感知计算是一个研究领域，常将医疗保健视为一个有趣且丰富的应用领域。
通过对研究文献的调查，我们旨在对医疗保健中情境感知的实际动态形成客观认识，并识别该领域的优势和劣势。
在讨论了情境的定义后，我们提出了一个简单的框架，通过三个主要维度来分析和描述情境的使用。然后我们聚焦于情境感知计算，并报告了该领域的主要研究团队。我们描述了一些医疗保健中的情境感知项目。对基于医院的项目进行的深入分析表明，在情境感知建模方面提出的建议与原型中的实际应用之间存在差距。最后，我们确定了该研究领域中遇到的陷阱。
对于这个不断发展的研究领域而言，仍存在诸多机会。我们发现专注于这一特定领域的团队相对较少。对于情境感知中最适合纳入哪些模型或属性，目前尚未达成共识。我们得出结论，需要更深入地理解在医疗保健环境中情境的哪些方面是重要的；情境感知应用在医疗保健中固有的社会技术性质；以及开展这项研究需要借鉴多个学科的知识。
