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临床词汇作为一个边界物体在多学科管理多种化学敏感性中的作用，这是一种复杂和慢性的情况。

Clinical vocabulary as a boundary object in multidisciplinary care management of multiple chemical sensitivity, a complex and chronic condition.

机构信息

Capital District Health Authority.

出版信息

J Multidiscip Healthc. 2011 Apr 14;4:91-102. doi: 10.2147/JMDH.S17564.

DOI:10.2147/JMDH.S17564
PMID:21594060
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3093953/
Abstract

BACKGROUND

Research has shown that accurate and timely communication between multidisciplinary clinicians involved in the care of complex and chronic health conditions is often challenging. The domain knowledge for these conditions is heterogeneous, with poorly categorized, unstructured, and inconsistent clinical vocabulary. The potential of boundary object as a technique to bridge communication gaps is explored in this study.

METHODS

A standardized and controlled clinical vocabulary was developed as a boundary object in the domain of a complex and chronic health condition, namely, multiple chemical sensitivity, to improve communication among multidisciplinary clinicians. A convenience sample of 100 patients with a diagnosis of multiple chemical sensitivity, nine multidisciplinary clinicians involved in the care of patients with multiple chemical sensitivity, and 36 clinicians in the community participated in the study.

RESULTS

Eighty-two percent of the multidisciplinary and inconsistent vocabulary was standardized using the Systematized Nomenclature of Medicine - Clinical Terms (SNOMED(®) CT as a reference terminology. Over 80% of the multidisciplinary clinicians agreed on the overall usefulness of having a controlled vocabulary as a boundary object. Over 65% of clinicians in the community agreed on the overall usefulness of the vocabulary.

CONCLUSION

The results from this study are promising and will be further evaluated in the domain of another complex chronic condition, ie, chronic pain. The study was conducted as a preliminary analysis for developing a boundary object in a heterogeneous domain of knowledge.

摘要

背景

研究表明，在涉及复杂和慢性健康状况的多学科临床医生之间进行准确和及时的沟通通常具有挑战性。这些病症的领域知识具有异质性，临床词汇分类不当、非结构化且不一致。本研究探讨了边界对象作为一种弥合沟通差距的技术的潜力。

方法

为复杂和慢性健康状况领域（即多种化学敏感性）开发了标准化和受控的临床词汇作为边界对象，以改善多学科临床医生之间的沟通。本研究的便利样本包括 100 名被诊断为多种化学敏感性的患者、9 名参与多种化学敏感性患者护理的多学科临床医生以及 36 名社区临床医生。

结果

使用系统命名法医学临床术语（SNOMED（®）CT 作为参考术语，将 82%的多学科和不一致词汇进行了标准化。超过 80%的多学科临床医生一致认为拥有受控词汇作为边界对象总体上是有用的。超过 65%的社区临床医生认为该词汇总体上是有用的。

结论

本研究结果很有希望，将在另一个复杂的慢性疾病领域（即慢性疼痛）进一步评估。该研究是作为在知识异质领域开发边界对象的初步分析进行的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/135f/3093953/a34291012fc4/jmdh-4-091f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/135f/3093953/76dea2c87914/jmdh-4-091f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/135f/3093953/2afb03b62c34/jmdh-4-091f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/135f/3093953/8b5185c72cd0/jmdh-4-091f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/135f/3093953/c2ae087387e6/jmdh-4-091f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/135f/3093953/c814876134b3/jmdh-4-091f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/135f/3093953/a34291012fc4/jmdh-4-091f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/135f/3093953/76dea2c87914/jmdh-4-091f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/135f/3093953/2afb03b62c34/jmdh-4-091f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/135f/3093953/8b5185c72cd0/jmdh-4-091f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/135f/3093953/c2ae087387e6/jmdh-4-091f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/135f/3093953/c814876134b3/jmdh-4-091f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/135f/3093953/a34291012fc4/jmdh-4-091f6.jpg

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