Liu Haifeng, Mei Jing, Xie Guotong
IBM Research, Beijing China.
Stud Health Technol Inform. 2012;180:492-6.
Few clinical guideline-based decision support systems (DSS) have been successfully applied in chronic disease management. This paper investigates how clinical guideline-based DSS can help to put innovative chronic care models into practice and improve the quality of chronic care. A prototype of a guideline-based collaborative chronic care system called GC3 was developed based on a framework integrating guidelines into care workflow where a business process engine and a GELLO-based decision engine are integrated together to execute guidelines. We deployed the system in one of the largest hospitals in China and its affiliated community centers in order to manage type 2 diabetic patients. Pilot use of GC3 demonstrates its benefits to regional chronic care including evidence-based decision support, shared care content, improved clinician adherence to guidelines and enhanced patient self-management. This study verifies the feasibility and effectiveness in implementing collaborative chronic care across health providers using clinical guideline-based DSS.
很少有基于临床指南的决策支持系统（DSS）成功应用于慢性病管理。本文研究基于临床指南的DSS如何有助于将创新的慢性病护理模式付诸实践并提高慢性病护理质量。基于将指南集成到护理工作流程的框架开发了一个名为GC3的基于指南的协作式慢性病护理系统原型，其中业务流程引擎和基于GELLO的决策引擎集成在一起以执行指南。我们在中国最大的医院之一及其附属社区中心部署了该系统，以管理2型糖尿病患者。GC3的试点使用证明了其对区域慢性病护理的益处，包括循证决策支持、共享护理内容、提高临床医生对指南的依从性以及增强患者自我管理能力。本研究验证了使用基于临床指南的DSS在跨医疗服务提供者实施协作式慢性病护理方面的可行性和有效性。
