Design of a Decision Support System for Test Ordering in General Practice: Choices and Decisions to Make

Design of a Decision Support System for Test Ordering in General Practice: Choices and Decisions to Make
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一般实践中测试订购决策支持系统的设计:选择和决策

DOI:
10.1055/s-0038-1634405
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发表时间:
1999
影响因子:
1.7
通讯作者:
J. V. D. Lei
J. V. D. Lei
中科院分区:
医学4区
文献类型:
--
作者:
M. V. Wijk;Mees Mosseveld;J. V. D. Lei

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摘要在过去的几年里,随着测试的可用性的增加,全科医生订购的血液测试数量也在增加。荷兰调查人员报告说,全科医生缺乏关于血液检查适应症的知识,导致诊断测试的不适当和不充分使用。利用荷兰全科医生使用电子病历的优势,作者用决策支持系统取代了传统的纸质表格。决策支持系统的目标是改变测试排序行为。然而,设计一个系统来改变测试排序行为,需要选择一种方法来提供支持。为了研究改变测试排序行为的不同方法,作者开发了两个版本的决策支持系统BloodLink。第一个版本,Blood-Link-Restricted,是基于限制全科医生选择数量的概念。第二个版本,BloodLink-Guideline,是基于荷兰全科医生学院提供的指南。
Abstract The increased availability of tests in the past years has been accompanied by an increased number of blood tests ordered by general practitioners. Dutch investigators report a lack of general practitioners’ knowledge concerning the indications for blood tests leading to inappropriate and inadequate use of diagnostic tests. Taking advantage of the use of electronic patient records by Dutch general practitioners, the authors replaced the traditional paper forms for test ordering by a decision-support system. The objective of the decision-support system is to change test-ordering behavior. Designing a system to change test-ordering behavior, however, required the selection of a method to provide support. To study different methods for changing test-ordering behavior, the authors developed two versions of the decision-support system BloodLink. The first version, Blood-Link-Restricted, is based on the notion of restricting the number of choices presented to the general practitioners. The second version, BloodLink-Guideline, is based on the guidelines provided by the Dutch college of general practitioners.
初级保健中的计算机化决策支持系统。
DOI: --
发表时间: 1995
期刊: Primary care.
影响因子: --
作者:
Elson,RB;Connelly,DP
通讯作者: Connelly,DP