Accessing Medical Decision Models via Handheld Computers

描述（由申请人提供）：该项目的广泛，长期目标是开发一种基于Java的软件技术，该技术将允许各种支持Internet的计算机，包括计算有限的手持计算机，访问基于Internet的医学决策模型库。具体目标是：（1）开发和评估更新的基于PC的交互式2型糖尿病管理模型;（2）将该交互式模型的执行从PC系统移植到Web服务器;以及（3）开发无线互联网技术以允许手持计算机访问糖尿病模型。MDM的糖尿病模型将基于对2型糖尿病模型和同行评审医学期刊上发表的临床试验数据的研究、解释、汇编和合并。手持访问MDM的模型将允许临床医生在其正常工作流程中为患者提供个性化的结果信息。一般而言，该信息将定量比较针对特定医学状况的治疗、筛查、预防和/或诊断的竞争过程的患者特异性益处和成本。在第一阶段，MDM将开发一种产品，以降低2型糖尿病患者的整体护理成本。这将通过增加患者对血糖水平管理策略的依从性来实现，该策略由易于访问的、患者定制的交互式信息源驱动。

DESCRIPTION (provided by applicant): The broad, long term objective of this project is to develop a Java-based software technology that will allow a wide range of Internet-enabled computers, including computationally-limited handheld computers, to access an Internet-based library of medical decision models. The specific aims are to: (1) develop and evaluate an updated PC-based interactive Type 2 diabetes management model; (2) port execution of this interactive model from a PC system to a Web server; and (3) develop wireless Internet technologies to allow handheld computers to access the diabetes model. MDM's diabetes model will be based on the research, interpretation, compilation, and incorporation of data from Type 2 diabetes models and clinical trials published in peer-reviewed medical journals. Handheld-access to MDM's models will allow clinicians within their normal workflow to provide individualized outcomes information to patients at the point of care. In general, this information will quantitatively compare patient-specific benefits and costs for competing courses of treatment, screening, prevention, and/or diagnosis for particular medical conditions. In Phase I, MDM will develop a product to reduce overall care costs for Type 2 diabetes patients. This will be accomplished through patients' increased compliance with blood glucose level management strategies driven by a readily- accessible, patient-tailored interactive information source.