Supporting tools for guideline development and dissemination.
This paper describes a methodology for representing clinical practice guidelines and facilitating their introduction into the medical routine. Since this methodology can be exploited in a www environment, it can represent the basis for sharing clinical guidelines both between different institutions and between human and software agents cooperating within a clinical context. In addition, the proposed guideline formalization is intended to deal with patient and organization preferences. This goal is achieved by augmenting the guideline with decision analytic models and by linking the guideline with an organizational model of the clinical setting. The designed framework allows guideline development, tailoring and implementation, real-time access to the guideline prescriptions and guideline validation.
Quaglini
S
S
Dipartimento di Informatica e Sistemistica, Universita' di Pavia, Italy. sil@ipvaimed2.unipv.it
Dazzi
L
L
Gatti
L
L
Stefanelli
M
M
Fassino
C
C
Tondini
C
C
D000465:Algorithms; D003142:Communication; D003195:Computer Communication Networks; D019992:Databases as Topic; D003661:Decision Support Techniques; D006801:Humans; D007255:Information Services; D007256:Information Systems; D020407:Internet; D016347:Medical Records Systems, Computerized; D017146:Models, Organizational; D010347:Patient Care Planning; D017060:Patient Satisfaction; D017410:Practice Guidelines as Topic; D011381:Programming Languages; D012984:Software; D014584:User-Computer Interface