The seven key challenges for life-critical shared decision making systems,International Journal of Medical Informatics

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The seven key challenges for life-critical shared decision making systems
International Journal of Medical Informatics ( IF 3.7 ) Pub Date : 2021-01-09 , DOI: 10.1016/j.ijmedinf.2021.104377
Evangelos Triantaphyllou ₁ , Juri Yanase ₂

Affiliation

Background

Shared decision making (SDM) for life-critical diseases or conditions is a crucial type of SDM. This type of SDM is still greatly underdeveloped and it faces a number of key challenges. The main goal of this study is to identify the challenges that impede the development and use of life-critical SDM.

Methods

This is a hybrid research and systematic / narrative review paper. Its results were derived by analyzing reviews already conducted by the authors when they were working on six recently published papers. These papers had collectively required two systematic reviews and four narrative reviews. The topics covered in the six published papers were related to computer-aided diagnosis (CAD) in medicine, the analysis of health state utilities, and the selection of the best treatment for life-critical diseases / conditions. A new narrative review was also executed to explore some new issues.

Results

The key challenges for life-critical SDM relate to the following aspects: The mathematical models used to make the decisions, the data used to feed these models, the role the patient plays within the SDM framework, and finally, the role healthcare professionals play along with the pertinent rules and regulations that guide the use of this type of SDM today.

Conclusions

Life-critical SDM is the most important type of SDM. However, some challenges impede its successful development and use. A number of developments and enhancements need to be made urgently for this type of SDM to become widely acceptable and useful. The seven key challenges identified in this study and the suggested directions for future research offer a compelling path towards elevating life-critical SDM to the next level and do so both effectively and efficiently.

中文翻译：

至关重要的共享决策系统的七个关键挑战

背景

对生命至关重要的疾病或状况的共享决策（SDM）是SDM的重要类型。此类SDM仍大大落后，并且面临许多关键挑战。这项研究的主要目的是确定阻碍生命攸关的SDM开发和使用的挑战。

方法

这是一个混合研究和系统/叙述性评论论文。其结果是通过分析作者在撰写六篇最近发表的论文时已经进行的评论而得出的。这些论文共同要求进行两次系统的评论和四个叙述性的评论。六篇已发表论文的主题涉及医学中的计算机辅助诊断（CAD），健康状态效用的分析以及对生命关键疾病/状况的最佳治疗的选择。还进行了新的叙述性评论，以探索一些新问题。