Clinical pathway modelling: a literature review.
Clinical pathway modelling: a literature review.
复制标题
DOI：
10.1080/20476965.2019.1652547
复制
发表时间：
2019-09-11
期刊：
影响因子：
--
通讯作者：
Harper P
中科院分区：
文献类型：
--
作者：
Aspland E;Gartner D;Harper P
医院信息系统越来越多地用作决策支持工具的一部分，用于战略、战术和运营决策层面的规划。临床路径是标准化治疗进展、支持患者护理和促进临床决策的有效且高效的方法。这篇文献综述提出了与临床路径相关的问题的分类，并探讨了信息系统（IS）、运筹学（OR）和工业工程之间的交叉点。结构化搜索确定了分类法中包含的 175 篇论文，并在本次综述中进行了分析。研究结果表明，未来的工作应考虑将工业工程与 OR 技术相结合，旨在改善一个模型内多个范围的处理，同时鼓励不相交的护理级别之间的互动，并更直接地关注患者的治疗结果。实现这一目标将继续弥合 OR、IS 和工业工程之间的差距，为临床路径提供辅助决策支持。
Hospital information systems are increasingly used as part of decision support tools for planning at strategic, tactical and operational decision levels. Clinical pathways are an effective and efficient approach in standardising the progression of treatment, to support patient care and facilitate clinical decision making. This literature review proposes a taxonomy of problems related to clinical pathways and explores the intersection between Information Systems (IS), Operational Research (OR) and industrial engineering. A structured search identified 175 papers included in the taxonomy and analysed in this review. The findings suggest that future work should consider industrial engineering integrated with OR techniques, with an aim to improving the handling of multiple scopes within one model, while encouraging interaction between the disjoint care levels and with a more direct focus on patient outcomes. Achieving this would continue to bridge the gap between OR, IS and industrial engineering, for clinical pathways to aid decision support.