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[放射学背景下的综合护理概念与多学科流程链]

[Integrated care concepts and multidisciplinary process chains in a radiological context].

作者信息

Bauer J, Kösel E, Henkel A G, Spinner C D, Kolisch R

机构信息

Abteilung Informationstechnologie, Klinikum rechts der Isar, Fakultät für Medizin, Technische Universität München, Ismaninger Str. 22, 81675, München, Deutschland.

Lehrstuhl für Operations Management, Fakultät für Wirtschaftswissenschaften, Technische Universität München, München, Deutschland.

出版信息

Radiologe. 2022 Apr;62(4):331-342. doi: 10.1007/s00117-022-00976-x. Epub 2022 Feb 24.

DOI:10.1007/s00117-022-00976-x
PMID:35201396
Abstract

Modern patient-centered and cost-efficient care concepts in hospitals require the mapping of multidisciplinary process chains into clinical pathways. Clinical decision support systems and operations research methods use algorithms to classify patients into homogeneous groups and to model a complete clinical pathway for scheduling individual procedures. An improvement of the economic situation of the care facility can be achieved through improved resource utilization, reduced patient waiting times and a shortening of the length of stay. The interdisciplinary use of centrally stored interoperable information and comprehensive care management via information technology (IT) services lay the foundation for the dissolution of traditional IT system architectures in medicine and the development of flexibly integrable modern system platforms. New IT approaches such as the semantically standardized definition of procedures and resource properties, the use of clinical decision support systems and the use of service-oriented system architectures form the basis for the deep integration of radiology services into comprehensive interdisciplinary care concepts.

摘要

医院中现代以患者为中心且具有成本效益的护理理念要求将多学科流程链映射到临床路径中。临床决策支持系统和运筹学方法使用算法将患者分类为同质组,并为安排个体程序建模完整的临床路径。通过提高资源利用率、减少患者等待时间和缩短住院时间,可以改善护理机构的经济状况。通过信息技术(IT)服务对集中存储的可互操作信息进行跨学科使用和全面护理管理,为医学中传统IT系统架构的解体以及灵活可集成的现代系统平台的开发奠定了基础。新的IT方法,如程序和资源属性的语义标准化定义、临床决策支持系统的使用以及面向服务的系统架构的使用,构成了将放射学服务深度集成到全面跨学科护理理念中的基础。

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本文引用的文献

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Patient-Centered Appointment Scheduling: a Call for Autonomy, Continuity, and Creativity.以患者为中心的预约安排:呼吁自主权、连续性和创造性。
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Radiologe. 2020 Apr;60(4):334-341. doi: 10.1007/s00117-019-00626-9.
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Online Appointment Scheduling for a Nuclear Medicine Department in a Chinese Hospital.中国一家医院核医学科的在线预约排班
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Evaluation of a multidisciplinary epilepsy transition clinic for adolescents.青少年多学科癫痫转诊诊所的评估
Eur J Paediatr Neurol. 2016 May;20(3):385-92. doi: 10.1016/j.ejpn.2016.01.003. Epub 2016 Jan 13.
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Improving patient access at a movement disorder clinic by participating in a Process Improvement Program.通过参与流程改进计划改善运动障碍诊所的患者就诊情况。
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An integrative model of patient-centeredness - a systematic review and concept analysis.以患者为中心的综合模型——系统评价与概念分析
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Improving breast diagnostic services with a Rapid Access Diagnostic and Support (RADS) program.通过快速诊断和支持(RADS)计划改善乳腺诊断服务。
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