J Biomed Inform - An Integrated Model for Patient Care and Clinical Trials (IMPACT) to support clinical research visit scheduling workflow for future learning health systems.

Tópicos

{ data(3963) clinic(1234) research(1004) }
{ research(1085) discuss(1038) issu(1018) }
{ clinic(1479) use(1117) guidelin(835) }
{ result(1111) use(1088) new(759) }
{ care(1570) inform(1187) nurs(1089) }
{ studi(1119) effect(1106) posit(819) }
{ record(1888) medic(1808) patient(1693) }
{ health(1844) social(1437) communiti(874) }
{ studi(2440) review(1878) systemat(933) }
{ problem(2511) optim(1539) algorithm(950) }
{ patient(2837) hospit(1953) medic(668) }
{ patient(1821) servic(1111) care(1106) }
{ concept(1167) ontolog(924) domain(897) }
{ analysi(2126) use(1163) compon(1037) }
{ implement(1333) system(1263) develop(1122) }
{ system(1976) rule(880) can(841) }
{ network(2748) neural(1063) input(814) }
{ framework(1458) process(801) describ(734) }
{ extract(1171) text(1153) clinic(932) }
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{ featur(1941) imag(1645) propos(1176) }
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{ model(3480) simul(1196) paramet(876) }
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{ research(1218) medic(880) student(794) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
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{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ first(2504) two(1366) second(1323) }
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{ time(1939) patient(1703) rate(768) }
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{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
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{ estim(2440) model(1874) function(577) }
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{ process(1125) use(805) approach(778) }
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{ detect(2391) sensit(1101) algorithm(908) }

Resumo

We describe a clinical research visit scheduling system that can potentially coordinate clinical research visits with patient care visits and increase efficiency at clinical sites where clinical and research activities occur simultaneously. Participatory Design methods were applied to support requirements engineering and to create this software called Integrated Model for Patient Care and Clinical Trials (IMPACT). Using a multi-user constraint satisfaction and resource optimization algorithm, IMPACT automatically synthesizes temporal availability of various research resources and recommends the optimal dates and times for pending research visits. We conducted scenario-based evaluations with 10 clinical research coordinators (CRCs) from diverse clinical research settings to assess the usefulness, feasibility, and user acceptance of IMPACT. We obtained qualitative feedback using semi-structured interviews with the CRCs. Most CRCs acknowledged the usefulness of IMPACT features. Support for collaboration within research teams and interoperability with electronic health records and clinical trial management systems were highly requested features. Overall, IMPACT received satisfactory user acceptance and proves to be potentially useful for a variety of clinical research settings. Our future work includes comparing the effectiveness of IMPACT with that of existing scheduling solutions on the market and conducting field tests to formally assess user adoption.

Resumo Limpo

describ clinic research visit schedul system can potenti coordin clinic research visit patient care visit increas effici clinic site clinic research activ occur simultan participatori design method appli support requir engin creat softwar call integr model patient care clinic trial impact use multius constraint satisfact resourc optim algorithm impact automat synthes tempor avail various research resourc recommend optim date time pend research visit conduct scenariobas evalu clinic research coordin crcs divers clinic research set assess use feasibl user accept impact obtain qualit feedback use semistructur interview crcs crcs acknowledg use impact featur support collabor within research team interoper electron health record clinic trial manag system high request featur overal impact receiv satisfactori user accept prove potenti use varieti clinic research set futur work includ compar effect impact exist schedul solut market conduct field test formal assess user adopt

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