Systems Research Institute, Polish Academy of Sciences, Newelska 6, 01-447 Warsaw, Poland.
Center for Innovation and Technology Transfer, Medical University of Lodz, 90-149 Łódź, Poland.
Sensors (Basel). 2021 Nov 6;21(21):7383. doi: 10.3390/s21217383.
Epidemiological trends over the past decade show a significant worldwide increase in the burden of chronic diseases. At the same time, the human resources of health care are becoming increasingly scarce and expensive. One of the management concepts that can help in solving this problem is business process management (BPM). The results of research conducted in the healthcare sector thus far prove that BPM is an effective tool for optimizing clinical processes, as it allows for the ongoing automatic tracking of key health parameters of an individual patient without the need to involve medical personnel. The aim of this article is to present and evaluate the redesign of diagnostic and therapeutic processes enabling the patient-centric organization of therapy thanks to the use of new telemedicine techniques and elements of hyperautomation. By using an illustrative case study of one of the most common chronic diseases, Chronic Obstructive Pulmonary Disease (COPD), we discuss the use of clinical pathways (CPs) prepared on the basis of the current version of the Global Initiative for Chronic Obstructive Lung Disease (GOLD) as a communication tool between healthcare professionals, the patient and his or her caregivers, as well as the method of identifying and verifying new knowledge generated on an ongoing basis in diagnostic and therapeutic processes. We also show how conducting comprehensive, patient-focused primary health care relieves the health care system, and at the same time, thanks to the use of patient engagement and elements of artificial intelligence (predictive analyses), reduces the significant clinical risk of therapy.
过去十年的流行病学趋势表明,慢性病负担在全球范围内显著增加。与此同时,医疗保健的人力资源变得越来越稀缺和昂贵。可以帮助解决这个问题的管理理念之一是业务流程管理 (BPM)。迄今为止,在医疗保健领域进行的研究结果证明,BPM 是优化临床流程的有效工具,因为它允许在不涉及医务人员的情况下,对个体患者的关键健康参数进行持续的自动跟踪。本文的目的是介绍和评估诊断和治疗流程的重新设计,通过使用新的远程医疗技术和超自动化元素,实现以患者为中心的治疗组织。通过使用最常见的慢性疾病之一——慢性阻塞性肺疾病 (COPD) 的案例研究,我们讨论了使用基于当前版全球慢性阻塞性肺疾病倡议 (GOLD) 准备的临床路径 (CP) 作为医疗保健专业人员、患者及其护理人员之间的沟通工具的方法,以及识别和验证诊断和治疗过程中不断产生的新知识的方法。我们还展示了如何进行全面的、以患者为中心的初级保健,以减轻医疗保健系统的负担,同时,通过使用患者参与和人工智能 (预测分析) 的元素,降低治疗的显著临床风险。