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SHARED INTERNET SERVER FOR DELIVERING GUIDELINES

用于提供指南的共享互联网服务器

基本信息

批准号：
6573523
负责人：
EDWARD H SHORTLIFFE
金额：
$ 9.52万
依托单位：
COLUMBIA UNIVERSITY HEALTH SCIENCES
依托单位国家：
美国
项目类别：
财政年份：
1999
资助国家：
美国
起止时间：
1999-07-01 至 2002-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/6573523
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

项目摘要

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（摘自应用摘要）：医疗保健的最新趋势交付导致更加重视制定准则，用于预防、诊断检查、治疗和患者管理过程（临床路径）。这些指导方针的动机是关注标记临床实践的变化，旨在帮助提供一个共同的在卫生保健组织内和不同的组织的拟议研究的目标是开发工具，促进准则电脑化的技术，标准来表示它们，互联网服务器来存储和执行它们，转换到本地执行环境的机制，并最终使用与基于计算机医疗记录系统相结合。这项提案包括来自五个学术医学中心的研究人员，美国医师学院（ACP）建立和测试这些的一般性，创建、分发和使用临床指南的方法。我们将共同努力实现以下五个具体目标： 1)要创建一个指南服务器（可通过Internet访问），为分发和共享准则的编码版本提供支持发达国家B）、联邦机构，如AHCPR和医疗组织如ACP。该服务器将允许访问者进行五项活动： a）使用指引的网上版本浏览指引编码创建和查看工具; B）访问关于预期范围的假设的文件和说明准则; c）请求基于服务器的资格计算指导方针和执行某些类别的协议; d）下载 GLIF格式的指南说明，用于本地定制，（e）要求提供关于其他个人的信息，或使用相同准则的组织; 2)检查、描述和编码每个阶段的代表性指南，四个网站。对于我们的测试平台，我们将使用ACP开发的由其他联邦或医疗机构制定的指南补充的指南组织; 3)为了继续我们目前的研究工作，支持第一和第二次救济的准则; 4)在哥伦比亚和马萨诸塞州综合医院实施指导方针医院，在每个组织都获得适当的机构后，批准临床使用，并评估如何在这些指南中使用两个临床研究中心;以及 5)为了研究创造准则的认知方面，上述，以及计算机辅助指南的临床使用环境.