Zhang Yiye, Padman Rema
Division of Health Informatics, Department of Health Policy and Research, Weill Cornell Medical College, New York, NY, USA.
The H. John Heinz III College, Carnegie Mellon University, Pittsburgh, PA, USA.
Stud Health Technol Inform. 2017;245:672-676.
Patients with multiple chronic conditions (MCC) pose an increasingly complex health management challenge worldwide, particularly due to the significant gap in our understanding of how to provide coordinated care. Drawing on our prior research on learning data-driven clinical pathways from actual practice data, this paper describes a prototype, interactive platform for visualizing the pathways of MCC to support shared decision making. Created using Python web framework, JavaScript library and our clinical pathway learning algorithm, the visualization platform allows clinicians and patients to learn the dominant patterns of co-progression of multiple clinical events from their own data, and interactively explore and interpret the pathways. We demonstrate functionalities of the platform using a cluster of 36 patients, identified from a dataset of 1,084 patients, who are diagnosed with at least chronic kidney disease, hypertension, and diabetes. Future evaluation studies will explore the use of this platform to better understand and manage MCC.
患有多种慢性病(MCC)的患者在全球范围内对健康管理构成了日益复杂的挑战,尤其是因为我们在如何提供协调护理方面的认识存在重大差距。基于我们之前从实际实践数据中学习数据驱动临床路径的研究,本文描述了一个用于可视化MCC路径以支持共同决策的交互式平台原型。该可视化平台使用Python网络框架、JavaScript库和我们的临床路径学习算法创建,使临床医生和患者能够从他们自己的数据中了解多个临床事件共同进展的主导模式,并交互式地探索和解释这些路径。我们使用从1084名患者的数据集中识别出的36名患者组成的群组来演示该平台的功能,这些患者被诊断患有至少慢性肾病、高血压和糖尿病。未来的评估研究将探索使用该平台来更好地理解和管理MCC。