50 Years of Informatics Research on Decision Support: What's Next

被引:10
作者
Mitchell, J. A. [1 ]
Gerdin, U. [2 ]
Lindberg, D. A. B. [3 ]
Lovis, C. [4 ]
Martin-Sanchez, F. J. [5 ]
Miller, R. A. [6 ]
Shortliffe, E. H. [7 ]
Leong, T. -Y. [8 ]
机构
[1] Univ Utah, Dept Biomed Informat, Salt Lake City, UT 84112 USA
[2] Nat Board Hlth & Welfare Regulat & Licenses Termi, Stockholm, Sweden
[3] Natl Lib Med, Bethesda, MD USA
[4] Univ Hosp Geneva, Geneva, Switzerland
[5] Univ Melbourne, Melbourne, Vic, Australia
[6] Vanderbilt Univ, Med Ctr, Nashville, TN USA
[7] Univ Texas Hlth Sci Ctr Houston, Houston, TX USA
[8] Natl Univ Singapore, Singapore, Singapore
关键词
Decision support; standard vocabularies; information retrieval; genomic and clinical information; integrative system; knowledge representation; personalized medicine; education; PERSONALIZED MEDICINE; DIAGNOSTIC ERRORS; COMPUTER; SYSTEMS; GENOME; AGE;
D O I
10.3414/ME11-06-0004
中图分类号
TP [自动化技术、计算机技术];
学科分类号
0812 ;
摘要
Objectives: To reflect on the history, status, and future trends of decision support in health and biomedical informatics. To highlight the new challenges posed by the complexity and diversity of genomic and clinical domains. To examine the emerging paradigms for supporting cost-effective, personalized decision making. Methods: A group of international experts in health and biomedical informatics presented their views and discussed the challenges and issues on decision support at the Methods of Information in Medicine 50th anniversary symposium. The experts were invited to write short articles summarizing their thoughts and positions after the symposium. Results and Conclusions: The challenges posed by the complexity and diversity of the domain knowledge, system, infrastructure, and usage pattern are highlighted. New requirements and computational paradigms for representing, using, and acquiring biomedical knowledge and healthcare protocols are proposed. The underlying common themes identified for developing next-generation decision, support include incorporating lessons from history, uniform vocabularies, integrative interfaces, contextualized decisions, personalized recommendations, and adaptive solutions.
引用
收藏
页码:525 / 535
页数:11
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