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基于规则的临床决策模型,用于支持健康检查中多种数据的解释。

A rule-based clinical decision model to support interpretation of multiple data in health examinations.

机构信息

Family Medicine Department, Ren-Ai Branch, Taipei City Hospital, Taipei, Taiwan, Republic of China.

出版信息

J Med Syst. 2011 Dec;35(6):1359-73. doi: 10.1007/s10916-009-9413-3. Epub 2009 Dec 15.

Abstract

Health examinations can obtain relatively complete health information and thus are important for the personal and public health management. For clinicians, one of the most important works in the health examinations is to interpret the health examination results. Continuously interpreting numerous health examination results of healthcare receivers is tedious and error-prone. This paper proposes a clinical decision support system to assist solving above problems. In order to customize the clinical decision support system intuitively and flexibly, this paper also proposes the rule syntax to implement computer-interpretable logic for health examinations. It is our purpose in this paper to describe the methodology of the proposed clinical decision support system. The evaluation was performed by the implementation and execution of decision rules on health examination results and a survey on clinical decision support system users. It reveals the efficiency and user satisfaction of proposed clinical decision support system. Positive impact of clinical data interpretation is also noted.

摘要

健康检查可以获得相对完整的健康信息,因此对个人和公共卫生管理很重要。对于临床医生来说,健康检查中最重要的工作之一是解释健康检查结果。不断解释众多医疗接受者的健康检查结果既乏味又容易出错。本文提出了一种临床决策支持系统来协助解决上述问题。为了直观、灵活地定制临床决策支持系统,本文还提出了规则语法,以实现健康检查的计算机可解释逻辑。本文的目的是描述所提出的临床决策支持系统的方法。通过对健康检查结果实施和执行决策规则以及对临床决策支持系统用户进行调查,对其进行了评估。结果显示了所提出的临床决策支持系统的效率和用户满意度。还注意到了临床数据分析解释的积极影响。

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