Development of a Web-Based Decision Support System for Insulin Self-Titration

被引：1

作者：

Simon, A. C. R. ^{[1
,2
]}

Holleman, F. ^{[2
]}

Hoekstra, J. B. ^{[2
]}

de Clercq, P. A. ^{[3
]}

Lemkes, B. A. ^{[2
]}

Hermanides, J. ^{[2
]}

Peek, N. ^{[1
]}

机构：

[1] Univ Amsterdam, Acad Med Ctr, Dept Med Informat, Meibergdreef 9, NL-1105 AZ Amsterdam, Netherlands

[2] Acad Med Ctr, Dept Internal Med, Amsterdam, Netherlands

[3] MEDECS BV, Eindhoven, Netherlands

来源：

USER CENTRED NETWORKED HEALTH CARE | 2011年 / 169卷

关键词：

Clinical decision support systems; telemedicine; self care; diabetes mellitus; insulin;

D O I：

10.3233/978-1-60750-806-9-103

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：

Insulin is the most potent agent for the treatment of diabetes mellitus. However insulin treatment requires frequent evaluation of blood glucose levels and adjustment of the insulin dose. This process is called titration. To guide patients with type 2 diabetes using once-daily long-acting insulin, we have developed a web-based decision support system for insulin self-titration. The purpose of this paper is to provide an overview of the phases of development and the final design of the system. We reviewed the literature, consulted an expert panel, and conducted interviews with patients to elicit system requirements. This revealed four important aspects: the insulin titration algorithm, the handling of hypoglycemic events, telemedicine functionalities, and visiting frequency monitoring. We used these requirements to develop a fully functional system.

引用

页码：103 / 107

页数：5

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