Gordon C, Jackson-Smale A, Thomson R
Advanced Computation Laboratory, Imperial Cancer Research Fund, London, UK.
Comput Methods Programs Biomed. 1994 Oct;45(1-2):37-9. doi: 10.1016/0169-2607(94)90011-6.
The aim of DILEMMA is to provide tools for the development of decision support systems for use in general medical practice, hospital-based cancer care, and shared care of cancer and cardiology patients. In primary care, the project intends to provide aids to clinical performance in prescribing, referral and the use of clinical guidelines. The demonstrator applications involve telematics and knowledge-based methodology, using an approach termed logic engineering which combines logic programming and software lifecycle methods. DILEMMA will demonstrate systems to assist shared care and home care which should help reduce pressure on secondary health resources and, by disseminating best practice knowledge, improve patient care and patient quality of life.
“困境”（DILEMMA）项目的目标是提供工具，用于开发决策支持系统，以应用于普通医疗实践、医院癌症护理以及癌症与心脏病患者的共享护理。在初级保健方面，该项目旨在为处方开具、转诊以及临床指南的使用提供临床绩效辅助。示范应用涉及远程信息技术和基于知识的方法，采用一种称为逻辑工程的方法，该方法结合了逻辑编程和软件生命周期方法。“困境”项目将展示有助于共享护理和家庭护理的系统，这应有助于减轻二级医疗资源的压力，并通过传播最佳实践知识，改善患者护理和患者生活质量。
