Lindgren Helena, Eriksson Sture
Department of Computing Science, Umeå University, Sweden.
Stud Health Technol Inform. 2010;157:79-84.
The need for improving dementia care has driven the development of the clinical decision support system DMSS (Dementia Management and Support System). A sociotechnical approach to design and development has been applied, with an activity-centered methodology and user participation throughout the process. Prototypes have been developed based on the characteristics of clinical practice and domain knowledge, while clinical practice has been subjected to different efforts for development such as education and organizational change. This paper addresses the lessons learned and role and impact DMSS has had, and is expected to have on the clinical assessment of dementia in different clinics in Sweden, South Korea and Japan. Furthermore, it will be described in what way the development of DMSS and the development of dementia care in these three areas are interlinked. Results indicate that the most important contribution of DMSS at the point of care, is the educational support that DMSS provides, part from the tailored explanatory support related to a patient case. This effect was partly manifested in a change of routines in the encounter with patients.
改善痴呆症护理的需求推动了临床决策支持系统DMSS（痴呆症管理与支持系统）的发展。设计和开发采用了社会技术方法，在整个过程中采用了以活动为中心的方法并让用户参与。已根据临床实践的特点和领域知识开发了原型，同时临床实践也经历了诸如教育和组织变革等不同的发展努力。本文阐述了所吸取的经验教训以及DMSS已经产生并预计将对瑞典、韩国和日本不同诊所的痴呆症临床评估产生的作用和影响。此外，还将描述DMSS的发展与这三个地区痴呆症护理发展的相互联系方式。结果表明，DMSS在护理点最重要的贡献是它提供的教育支持，这与针对患者病例的定制解释性支持不同。这种效果部分体现在与患者接触时的常规变化中。
