A principled approach to the design of healthcare systems: Autonomy vs. governance

被引：14
作者：
Taleb-Bendiab, A. [1 ]
England, David [1 ]
Randles, Martin [1 ]
Miseldine, Philip [1 ]
Murphy, Karen [1 ]
机构：
[1] Liverpool John Moores Univ, Sch Comp & Math Sci, Liverpool L3 3AF, Merseyside, England
来源：
RELIABILITY ENGINEERING & SYSTEM SAFETY | 2006年 / 91卷 / 12期
基金：
英国工程与自然科学研究理事会;
关键词：
decision support; breast cancer care; autonomy; self-governing systems;
D O I：
10.1016/j.ress.2006.01.011
中图分类号：
T [工业技术];
学科分类号：
08 ;
摘要：
In this paper, we look at decision support for post-operative breast cancer care. Our main concerns are to support autonomy of decision making whilst maintaining the governance and reliability of the decision-making process. We describe the context of our work in the wider medical setting. We then present a set of decision support tools based on the situation calculus as a means of maintaining the integrity of rule bases underlying the decision-making system. The decision support system, Neptune, allows for the authoring, maintenance and delivery of decisions in a self-governing framework. Finally we discuss the implications of our work. (C) 2006 Elsevier Ltd. All rights reserved.
引用
收藏
页码：1576 / 1585
页数：10
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