Carenini G, Mittal V O, Moore J D
Intelligent Systems Laboratory, University of Pittsburgh, PA 15260.
Proc Annu Symp Comput Appl Med Care. 1994:5-9.
Patient compliance is a significant problem and is strongly correlated with the patients' understanding of their condition and prescribed treatment. Since doctors typically do not have large amounts of time to educate patients, and impersonal, voluminous patient handouts are largely ineffective, we propose the use of a sophisticated computer-based information system to generate tailored, interactive handouts to communicate with patients. Our system uses text planning and user modeling techniques to generate natural language descriptions of migraine, its symptoms, triggering factors and prescriptions. The system is capable of handling follow-up questions requesting further information, and generating responses in the context of previously supplied information--a capability unavailable in previous patient information systems. The system tailors its interaction to: (i) the class of migraine patients, (ii) the individual patient, and (iii) the previous dialogue. Preliminary evaluation of the system indicates that patients find it useful and informative. More extensive evaluation is in progress.
患者依从性是一个重大问题，并且与患者对自身病情及所开治疗方案的理解密切相关。由于医生通常没有大量时间对患者进行教育，而且客观、冗长的患者手册在很大程度上没有效果，因此我们提议使用一个先进的基于计算机的信息系统来生成量身定制的交互式手册，以便与患者进行沟通。我们的系统使用文本规划和用户建模技术来生成关于偏头痛、其症状、触发因素及处方的自然语言描述。该系统能够处理要求提供更多信息的后续问题，并在先前提供信息的背景下生成回复——这是以前的患者信息系统所不具备的能力。该系统根据以下方面调整其交互方式：(i) 偏头痛患者类别，(ii) 个体患者，以及 (iii) 先前的对话。对该系统的初步评估表明，患者认为它有用且信息丰富。更广泛的评估正在进行中。
