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Improving Primary Care by Using Computerized Clinical Decision Support Systems: Project RIGHT

机译:通过使用计算机化临床决策支持系统改善初级保健:项目权

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Future integrated information systems for general practice should enable: clinicians to access appropriate information about individual patients held on other systems for the clinical care and treatment of the patient; health professionals to access the knowledge base of health care at the point of care; dispensing practices to have synchronous links; the development of a framework for electronic prescribing; GP to GP electronic transfer of patients records; intercommunication between clinical and administrative systems. It is known that adherence to clinical guidelines improves quality of care and also that clinical decision support systems offer an effective way to implement clinical guidelines by requiring user's active participation and problem oriented thinking. Attempts made so far of primary care implementation of clinical guidelines in the field of depression are described and their effects discussed. It turns out that there are few existing solutions, ambiguous effects and that usage is often limited. In future factors determining developement of succesful electronic tools for clinical guidelines implementation will need to be further specified. International project RIGHT is developing a knowledge management platform for general practitioners including state-of-the-art computerized decision support system and could serve as a testing ground.
机译:对于一般的做法未来的综合信息系统应能:临床医生有关其他系统的临床护理和治疗病人的举行个别患者获得相应的信息;卫生专业人员在医疗点获得医疗保健的知识基础;配送的做法有同步链接;电子处方框架的发展; GP对GP的病人记录的电子转移;临床和管理系统之间的互通。据了解,坚持临床指南提高医疗质量,也即临床决策支持系统提供了通过要求用户的积极参与和问题导向的思维来执行临床指南的有效途径。尝试在抑郁症领域被描述到目前为止的初级卫生保健实施的临床指南提出及其影响的讨论。事实证明,有一些现有的解决方案,暧昧的效果和使用往往是有限的。在未来确定的临床指南实施成功的电子工具的研究与开发因素都需要进一步明确。国际项目RIGHT正在制定全科医生,包括国家的最先进的电脑化决策支持系统,可以作为一个试验场一个知识管理平台。

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