Lindgren Helena
Department of Computing Science, Umeå University, Sweden.
Stud Health Technol Inform. 2011;169:120-4.
There is a need to provide tools for the medical professional at the point of care in the assessment of a suspected dementia disease. Early diagnosis is important in order to provide appropriate care so that the disease does not cause unnecessary suffering for the patient and relatives. DMSS (Dementia Management and Support System) is a clinical decision-support system that provides support in the diagnosis of a dementia disease, which is in use in controlled clinical evaluation settings in four countries. This paper reports the results of evaluations done in use environments in these places during a period of two years. Data in 218 patient cases were collected by 21 physicians during their use of the system in clinical practice. In 50 of the cases the use of the system were also observed and the physicians were interviewed in 88 cases. The collected data and inferences made by the system were analyzed. To summarize the results, DMSS gave appropriate support considering the patient case, available information and the user's skills and knowledge in the domain. However, the results also illuminated the need for extended and personalized support for the less skilled physician in the assessment of basic information about patients.
需要为医疗专业人员在护理现场提供工具，以便对疑似痴呆症进行评估。早期诊断对于提供适当护理很重要，这样疾病就不会给患者及其亲属带来不必要的痛苦。痴呆症管理与支持系统（DMSS）是一种临床决策支持系统，可在痴呆症诊断方面提供支持，该系统已在四个国家的受控临床评估环境中使用。本文报告了在两年时间里在这些地方的使用环境中所做评估的结果。21名医生在临床实践中使用该系统时收集了218例患者的数据。其中50例还观察了系统的使用情况，88例对医生进行了访谈。对收集到的数据以及系统做出的推断进行了分析。总结结果，考虑到患者病例、可用信息以及用户在该领域的技能和知识，DMSS提供了适当的支持。然而，结果也表明，在评估患者基本信息方面，需要为技能较低的医生提供更多的个性化支持。
