title: Electronic Risk Assessment System as an Appropriate Tool for the Prevention of Cancer: a Qualitative Study.
abstract: BACKGROUND
  Decision making modalities for screening for many cancer conditions and different stages have become increasingly complex. Computer-based risk assessment systems facilitate scheduling and decision making and support the delivery of cancer screening services. The aim of this article was to survey electronic risk assessment system as an appropriate tool for the prevention of cancer.
  
  
  METHODS
  A qualitative design was used involving 21 face-to-face interviews. Interviewing involved asking questions and getting answers from exclusive managers of cancer screening. Of the participants 6 were female and 15 were male, and ages ranged from 32 to 78 years. The study was based on a grounded theory approach and the tool was a semi- structured interview.
  
  
  RESULTS
  Researchers studied 5 dimensions, comprising electronic guideline standards of colorectal cancer screening, work flow of clinical and genetic activities, pathways of colorectal cancer screening and functionality of computer based guidelines and barriers. Electronic guideline standards of colorectal cancer screening were described in the s3 categories of content standard, telecommunications and technical standards and nomenclature and classification standards. According to the participations' views, workflow and genetic pathways of colorectal cancer screening were identified.
  
  
  CONCLUSIONS
  The study demonstrated an effective role of computer-guided consultation for screening management. Electronic based systems facilitate real-time decision making during a clinical interaction. Electronic pathways have been applied for clinical and genetic decision support, workflow management, update recommendation and resource estimates. A suitable technical and clinical infrastructure is an integral part of clinical practice guidline of screening. As a conclusion, it is recommended to consider the necessity of architecture assessment and also integration standards.
authors.affiliation: Islamic Azad University, Iran E-mail : elhammaserat@gmail.com.
authors.forename: Amir Hossein
authors.initials: AH
authors.lastname: Javan Amoli
authors.forename: Elham
authors.initials: E
authors.lastname: Maserat
authors.forename: Reza
authors.initials: R
authors.lastname: Safdari
authors.forename: Mohammad Reza
authors.initials: MR
authors.lastname: Zali
mesh_terms: D000328:Adult; D000368:Aged; D015179:Colorectal Neoplasms / Q000175:diagnosis* / Q000517:prevention & control*; D003657:Decision Making; D020000:Decision Support Systems, Clinical; D019468:Disease Management; D055088:Early Detection of Cancer; D057286:Electronic Health Records / Q000592:standards*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D011379:Prognosis; D036301:Qualitative Research; D018570:Risk Assessment