NORC at the University of Chicago, Bethesda, MD, United States.
Elimu Informatics, El Cerrito, CA, United States.
Stud Health Technol Inform. 2022 Jun 6;290:350-353. doi: 10.3233/SHTI220094.
Patient Centered Outcomes Research (PCOR) and health care delivery system transformation require investments in development of tools and techniques for rapid dissemination of clinical and operational best practices. This paper explores the current technology landscape for patient-centered clinical decision support (PC CDS) and what is needed to make it more shareable, standards-based, and publicly available with the goal of improving patient care and clinical outcomes. The landscape assessment used three sources of information: (1) a 22-member technical expert panel; (2) a literature review of peer-reviewed and grey literature; and (3) key informant interviews with PC CDS stakeholders. We identified ten salient technical considerations that span all phases of PC CDS development; our findings suggest there has been significant progress in the development and implementation of PC CDS but challenges remain.
患者为中心的研究成果（PCOR）和医疗保健提供系统的转型需要投资开发工具和技术，以快速传播临床和运营最佳实践。本文探讨了目前患者为中心的临床决策支持（PC CDS）的技术现状，以及需要做些什么才能使其更具可分享性、基于标准并可供公众使用，从而改善患者护理和临床结果。景观评估使用了三种信息来源：（1）一个由 22 名技术专家组成的小组；（2）同行评议和灰色文献的文献综述；以及（3）与 PC CDS 利益相关者的关键信息访谈。我们确定了十个突出的技术考虑因素，涵盖了 PC CDS 开发的所有阶段；我们的研究结果表明，PC CDS 的开发和实施已经取得了重大进展，但仍存在挑战。
