EXPLANATION IN THE CLINICAL SETTING

我们的长期目标是提高医生的整体效率， 时间，从而提高医疗保健的质量，通过改善 临床医患信息交流 设置. 许多疾病的成功治疗不仅需要 诊断和治疗的有效工具， 确保医生和患者的信息需求得到满足。 我们建议设计、实现和测试一个交互式信息系统 用于医生和成人偏头痛患者的系统，其被设计为 从两个方面节省医生的时间：（a）从患者那里收集数据， 每次访视前总结患者状态，以及（B）解释 医生对患者的指导和回答患者的问题。 的 系统将有一个知识库，涵盖了生理 偏头痛的机制，常见的治疗方法，以及最常见的 这些疗法的副作用和副作用。 计算机系统将 由两个主要程序组成：（a）一个交互式前端， 每次访视前患者的信息，并总结患者 医生的状态，以及（B）智能接口，其将 用日常语言向患者进行解释，并做出回应， 聪明地跟进问题。 我们建议评估 这种系统的效果，使它提供给病人在两个 不同的诊所，测量其使用的临床结果沿着 不同变量的数量。 最后，我们提出了基于 我们的系统的实证研究的解释实际上给出了在 诊所

Our long-term goal is to improve the overall effectiveness of physicians' time, and thus improve the quality of health care, by improving the information exchange between physicians and patients in clinical settings. Successful treatment of many diseases requires not only effective tools for diagnosis and therapy but also tools or skills that ensure that both physicians' and patients' information needs are met. We propose to design, implement, and test an interactive information system for physicians and adult migraine patients that is designed to save physicians' time in two ways: (a) collecting data from patients and summarizing patient status before each visit, and (b) explaining physicians' instructions to and answering questions by patients. The system will have a knowledge base that covers the physiological mechanisms for migraines, the common therapies, and the most common effects and side effects of those therapies. The computer system will consist of two main programs: (a) an interactive front-end that collects information from patients prior to each visit and summarizes the patient status for the physician, and (b) an intelligent interface, which will deliver explanations in everyday language to patients, and respond intelligently to follow-up questions. We propose to evaluate the effects of such a system by making it available to patients in two different clinics, measuring the clinical outcomes of its use along a number of different variables. Finally, we propose to base the design of our system on empirical studies of explanations actually given in the clinic.