当前位置: X-MOL 学术Int. J. Med. Inform. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
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。

结果

至关重要的SDM的主要挑战涉及以下几个方面:用于做出决策的数学模型,用于提供这些模型的数据,患者在SDM框架中扮演的角色以及最后医疗保健专业人员所扮演的角色以及指导今天使用这种SDM的相关规则和规定。

结论

至关重要的SDM是最重要的SDM类型。但是,一些挑战阻碍了它的成功开发和使用。为了使这种类型的SDM变得广泛被接受和有用,迫切需要进行许多开发和增强。这项研究中确定的七个关键挑战以及未来研究的建议方向,为将生命攸关的SDM提升到一个新的水平提供了一条引人注目的途径,并且有效而高效地做到了这一点。

更新日期:2021-01-28
down
wechat
bug