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A principled approach to the design of healthcare systems: Autonomy vs. governance

机译:设计医疗保健系统的原则方法:自治与治理

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In this paper, we look at decision support for post-operative breast cancer care. Our main concerns are to support autonomy of decision making whilst maintaining the governance and reliability of the decision-making process. We describe the context of our work in the wider medical setting. We then present a set of decision support tools based on the situation calculus as a means of maintaining the integrity of rule bases underlying the decision-making system. The decision support system, Neptune, allows for the authoring, maintenance and delivery of decisions in a self-governing framework. Finally we discuss the implications of our work.
机译:在本文中,我们着眼于术后乳腺癌护理的决策支持。我们的主要关注点是支持决策自主权,同时保持决策过程的治理和可靠性。我们描述了我们在更广泛的医学环境中的工作背景。然后,我们提出了一种基于情境演算的决策支持工具集,作为维护决策系统基础的规则库完整性的一种手段。决策支持系统Neptune允许在自治框架内创作,维护和交付决策。最后,我们讨论工作的意义。

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