Clinical decision support systems in child and adolescent psychiatry: a systematic review

被引:0
作者
Roman Koposov
Sturla Fossum
Thomas Frodl
Øystein Nytrø
Bennett Leventhal
Andre Sourander
Silvana Quaglini
Massimo Molteni
María de la Iglesia Vayá
Hans-Ulrich Prokosch
Nicola Barbarini
Michael Peter Milham
Francisco Xavier Castellanos
Norbert Skokauskas
机构
[1] UiT The Arctic University of Norway,Regional Centre for Children and Youth Mental Health and Welfare, Northern Norway
[2] Otto von Guericke University Magdeburg,Department of Psychiatry and Psychotherapy
[3] Norwegian University of Science and Technology,Department of Computer and Information Science
[4] University of California,San Francisco School of Medicine
[5] University of Turku and Turku University Hospital,Department of Child Psychiatry
[6] Università degli Studi di Pavia,Industrial and Information Engineering Department
[7] Hospital at Bosisio Parini,Child Psychopathology Unit
[8] IBSP-CV BIOBANK,Department of Medical Informatics
[9] Friedrich-Alexander University,Center for the Developing Brain
[10] BIOMEdical Research Informatics Solutions,Regional Centre for Children and Youth Mental Health and Child Welfare
[11] Child Mind Institute, Central Norway
[12] New York University Child Study Center,undefined
[13] Norwegian University of Science and Technology,undefined
来源
European Child & Adolescent Psychiatry | 2017年 / 26卷
关键词
Clinical decision support system; Mental health informatics; Electronic health records; Neurodevelopmental disorders;
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摘要
Psychiatric disorders are amongst the most prevalent and impairing conditions in childhood and adolescence. Unfortunately, it is well known that general practitioners (GPs) and other frontline health providers (i.e., child protection workers, public health nurses, and pediatricians) are not adequately trained to address these ubiquitous problems (Braddick et al. Child and Adolescent mental health in Europe: infrastructures, policy and programmes, European Communities, 2009; Levav et al. Eur Child Adolesc Psychiatry 13:395–401, 2004). Advances in technology may offer a solution to this problem with clinical decision support systems (CDSS) that are designed to help professionals make sound clinical decisions in real time. This paper offers a systematic review of currently available CDSS for child and adolescent mental health disorders prepared according to the PRISMA-Protocols (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols). Applying strict eligibility criteria, the identified studies (n = 5048) were screened. Ten studies, describing eight original clinical decision support systems for child and adolescent psychiatric disorders, fulfilled inclusion criteria. Based on this systematic review, there appears to be a need for a new, readily available CDSS for child neuropsychiatric disorder which promotes evidence-based, best practices, while enabling consideration of national variation in practices by leveraging data-reuse to generate predictions regarding treatment outcome, addressing a broader cluster of clinical disorders, and targeting frontline practice environments.
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页码:1309 / 1317
页数:8
相关论文
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