Tsui F C, Wagner M, Thompson M E
Center for Biomedical Informatics, University of Pittsburgh School of Medicine, USA.
Proc AMIA Annu Fall Symp. 1997:764-8.
DMS is a Web-based disease-management system, which facilitates easy access for users and close connection to hospital information systems, based on clinical practice guidelines. Currently we are prototyping DMS in the area of hyperlipidemia management. However our approach is general. For each office visit, DMS generates an encounter form with recommendations based on the National Cholesterol Education Program (NCEP) guidelines. In between visits, DMS provides email notifications to clinicians about delinquent laboratory studies and recommendations for patient management based on recently available information. By reviewing previous efforts for implementing NCEP guidelines and some of the pitfalls that were encountered, we first constructed DMS for hyperlipidemia management. A detailed description of DMS is provided in this paper.
DMS是一个基于网络的疾病管理系统，它基于临床实践指南，方便用户轻松访问并与医院信息系统紧密连接。目前我们正在高脂血症管理领域对DMS进行原型设计。不过我们的方法具有通用性。对于每次门诊就诊，DMS会根据美国国家胆固醇教育计划（NCEP）指南生成一份带有建议的会诊表。在就诊间隔期间，DMS会向临床医生发送电子邮件通知，告知其逾期未完成的实验室检查以及根据最新可得信息提出的患者管理建议。通过回顾以往实施NCEP指南的努力以及所遇到的一些陷阱，我们首先构建了用于高脂血症管理的DMS。本文提供了DMS的详细描述。
