Using Recommendation to Support Adaptive Clinical Pathways

被引:27
作者
Huang, Zhengxing [1 ]
Lu, Xudong [1 ]
Duan, Huilong [1 ]
机构
[1] Zhejiang Univ, Coll Biomed Engn & Instrument Sci, Minist Educ, Key Lab Biomed Engn, Hangzhou 310003, Zhejiang, Peoples R China
关键词
Clinical pathway; Medical intervention; Recommendation; Adaptive; LENGTH-OF-STAY; DYNAMIC CHANGES; RULE-INDUCTION; GUIDELINES; MEDICINE; SYSTEMS;
D O I
10.1007/s10916-010-9644-3
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Clinical pathways are among the main tools used to manage the quality in health-care concerning the standardization of care processes. This paper deals with a recommendation service to support adaptive clinical pathways. The proposed approach can guide physicians in clinical pathways by providing recommendations on possible next steps based on the measurement of the target patient status and medical knowledge from completed clinical cases. The efficiency and usability of the proposed method is validated by experiments referring to a real data set extracted from Electronic Patient Records. The experimental results indicate that the recommendation service can provide its users with advice rationales that remain consistent even when patient status has changed. This makes adaptive clinical pathways possible.
引用
收藏
页码:1849 / 1860
页数:12
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