College of Biomedical Engineering and Instrument Science, Zhejiang University, People's Republic of China.
J Med Syst. 2012 Jun;36(3):1849-60. doi: 10.1007/s10916-010-9644-3. Epub 2011 Jan 5.
Clinical pathways are among the main tools used to manage the quality in health-care concerning the standardization of care processes. This paper deals with a recommendation service to support adaptive clinical pathways. The proposed approach can guide physicians in clinical pathways by providing recommendations on possible next steps based on the measurement of the target patient status and medical knowledge from completed clinical cases. The efficiency and usability of the proposed method is validated by experiments referring to a real data set extracted from Electronic Patient Records. The experimental results indicate that the recommendation service can provide its users with advice rationales that remain consistent even when patient status has changed. This makes adaptive clinical pathways possible.
临床路径是管理医疗保健质量的主要工具之一，旨在规范护理流程。本文介绍了一种推荐服务，以支持自适应临床路径。该方法基于对目标患者状态的测量和从已完成的临床病例中获取的医学知识，为医生提供可能的下一步建议，从而指导临床路径。通过参考从电子病历中提取的真实数据集进行的实验，验证了所提出方法的效率和可用性。实验结果表明，即使患者状态发生变化，推荐服务也能为用户提供一致的建议依据，从而实现自适应临床路径。
