SHARED INTERNET SERVER FOR DELIVERING GUIDELINES

用于提供指南的共享互联网服务器

• 批准号: 6185225
• 负责人: EDWARD H SHORTLIFFE
• 金额: $ 63.69万
• 依托单位: COLUMBIA UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-07-01 至 2002-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6185225
• 关键词: Internet; automated medical record system; behavioral /social science research tag; clinical research; computer assisted medical decision making; computer system design /evaluation; health care facility information system; health care policy; health care quality; health services research tag; human data; shared health service

DESCRIPTION (Taken from application abstract): Recent trends in health care delivery have led to an increased emphasis on the development of guidelines for prevention, diagnostic workup, treatment, and patient-management processes (clinical pathways). Such guidelines are motivated by concerns about marked variations in clinical practice and are designed to help provide a common standard of care both within a health care organization and among different organizations. The goal of the proposed research is to develop tools and techniques to promote the computerization of guidelines by developing a standard to represent them, an Internet server to store and execute them, mechanisms for translation into a local execution environment, and finally use in conjunction with computer-based medical record systems. This proposal includes researchers from five academic medical centers and the American College of Physicians (ACP) to build and test the generality of these approaches to the creation, distribution, and use of clinical guidelines. Together, we will pursue the following five specific aims: 1) To create a guideline server (accessible over the Internet) that can provide support for distributing and sharing encoded versions of guidelines developed b), federal agencies such as the AHCPR and medical organizations such as the ACP. The server will allow visitors to perform five activities: a) to browse the encoded guidelines using a web-based version of the guideline creation and viewing tools; b) to access both the original textual versions of the documents and descriptions of assumptions about the intended scope of the guidelines; c) to request server-based computation of eligibility for guidelines and execution of some categories of protocols; d) to download guideline descriptions in GLIF format for local custom tailoring and implementation; and e) to request information about other individuals or organizations which are utilizing the same guidelines; 2) To examine, characterize, and encode representative guidelines at each of the four sites. For our testbed, we will use a subset of the ACP-developed guidelines augmented by guidelines created by other federal or medical organizations; 3) To continue our current research efforts in the representation of guidelines to support alms I and 2; 4) To put the guidelines into operation at Columbia and Massachusetts General Hospital, after each organization has obtained the appropriate institutional approvals for clinical use and to assess how the guidelines are used at these two clinical sites; and 5) To study cognitive aspects of creating guidelines, of the encoding tasks described above, and of the clinical use of guidelines in computer assisted environments.

描述（摘自申请摘要）：医疗保健的最新趋势 交付导致更加重视指南的制定 用于预防、诊断检查、治疗和患者管理流程 （临床途径）。 此类指导方针的动机是对标记的担忧 临床实践中的差异，旨在帮助提供共同的 医疗保健组织内部和不同机构之间的护理标准 组织。 拟议研究的目标是开发工具和 通过开发指南来促进指南计算机化的技术 代表它们的标准，存储和执行它们的互联网服务器， 翻译成本地执行环境的机制，最后使用 与基于计算机的医疗记录系统相结合。 该提案包括来自五个学术医学中心和 美国内科医师学会 (ACP) 建立并测试这些方法的通用性 临床指南的创建、分发和使用的方法。 我们将共同追求以下五个具体目标： 1) 创建一个指南服务器（可通过 Internet 访问） 为分发和共享指南的编码版本提供支持 b)、联邦机构（例如 AHCPR）和医疗组织 例如 ACP。 服务器将允许访问者执行五项活动： a) 使用基于网络的指南版本浏览编码指南 创建和查看工具； b) 访问两个原始文本版本 有关预期范围的假设的文件和描述 指导方针； c) 请求基于服务器的资格计算 某些类别协议的指导方针和执行； d) 下载 GLIF 格式的指南描述，用于本地定制 执行; e) 请求有关其他个人的信息或 使用相同准则的组织； 2) 检查、表征和编码每个方面的代表性指南 四个站点。 对于我们的测试平台，我们将使用 ACP 开发的子集 由其他联邦或医疗机构制定的指导方针进行补充的指导方针 组织； 3）继续我们当前的研究工作 支持施舍 I 和 2 的准则； 4) 将指南在哥伦比亚大学和马萨诸塞州综合医院实施 医院，在每个组织获得适当的机构后 批准临床使用并评估指南在这些方面的使用情况 两个临床中心；和 5）研究创建指南和编码任务的认知方面 如上所述，以及计算机辅助指南的临床使用 环境。