J Med Syst - Development of a decision support engine to assist patients with hospital selection.

Tópicos

{ decis(3086) make(1611) patient(1517) }
{ design(1359) user(1324) use(1319) }
{ perform(999) metric(946) measur(919) }
{ patient(1821) servic(1111) care(1106) }
{ patient(2837) hospit(1953) medic(668) }
{ inform(2794) health(2639) internet(1427) }
{ chang(1828) time(1643) increas(1301) }
{ state(1844) use(1261) util(961) }
{ survey(1388) particip(1329) question(1065) }
{ search(2224) databas(1162) retriev(909) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ spatial(1525) area(1432) region(1030) }
{ method(1219) similar(1157) match(930) }
{ network(2748) neural(1063) input(814) }
{ data(1714) softwar(1251) tool(1186) }
{ visual(1396) interact(850) tool(830) }
{ monitor(1329) mobil(1314) devic(1160) }
{ first(2504) two(1366) second(1323) }
{ use(1733) differ(960) four(931) }
{ process(1125) use(805) approach(778) }
{ model(3404) distribut(989) bayesian(671) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ patient(2315) diseas(1263) diabet(1191) }
{ studi(2440) review(1878) systemat(933) }
{ assess(1506) score(1403) qualiti(1306) }
{ method(1557) propos(1049) approach(1037) }
{ system(1050) medic(1026) inform(1018) }
{ record(1888) medic(1808) patient(1693) }
{ model(3480) simul(1196) paramet(876) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ health(1844) social(1437) communiti(874) }
{ drug(1928) target(777) effect(648) }
{ method(1969) cluster(1462) data(1082) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ sequenc(1873) structur(1644) protein(1328) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ imag(2675) segment(2577) method(1081) }
{ take(945) account(800) differ(722) }
{ motion(1329) object(1292) video(1091) }
{ treatment(1704) effect(941) patient(846) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ howev(809) still(633) remain(590) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ research(1085) discuss(1038) issu(1018) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ compound(1573) activ(1297) structur(1058) }
{ blood(1257) pressur(1144) flow(957) }
{ health(3367) inform(1360) care(1135) }
{ ehr(2073) health(1662) electron(1139) }
{ research(1218) medic(880) student(794) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ estim(2440) model(1874) function(577) }
{ activ(1452) weight(1219) physic(1104) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

Hospital selection is a complicated decision-making process. Although patients have expressed greater desire to participate in decision-makings of their healthcare, it can be problematic for them to accumulate large amount of information and using it for making an optimal choice in hospital selection. The aim of this research is to develop a decision engine for hospital selection (DEHS) to support patients while accessing healthcare resources. DEHS applied the analytic hierarchy process and the geographic information system to aggregate different decision factors and spatial information. The results were evaluated through investigating the consistency of the preferences that users inputted, the degree that the results match patient choices, the satisfactions of users, and the helpfulness of the results. Data were collected for 3?months. One hundred and four users visited DEHS and 85.5?% of them used DEHS more than once. Recommendations of the institutes (36?%) was ranked as the primary decision factor that most users concerned. Sixty-seven percent of the sessions searched for hospitals and 33?% for clinics. Eighty-eight percent of the results matched the choices of patients. Eighty-three percent of the users agreed that the suggested results were satisfactory, and 70?% agreed that the information were helpful. The DEHS provides the patients with simple measurements and individualized list of suggested medical institutes, and allows them to make decisions based on credible information and consults the experiences of others at the same time. The suggested results were considered satisfactory and helpful.

Resumo Limpo

hospit select complic decisionmak process although patient express greater desir particip decisionmak healthcar can problemat accumul larg amount inform use make optim choic hospit select aim research develop decis engin hospit select deh support patient access healthcar resourc deh appli analyt hierarchi process geograph inform system aggreg differ decis factor spatial inform result evalu investig consist prefer user input degre result match patient choic satisfact user help result data collect month one hundr four user visit deh use deh recommend institut rank primari decis factor user concern sixtyseven percent session search hospit clinic eightyeight percent result match choic patient eightythre percent user agre suggest result satisfactori agre inform help deh provid patient simpl measur individu list suggest medic institut allow make decis base credibl inform consult experi other time suggest result consid satisfactori help

Resumos Similares

Med Decis Making - Adherence and decision AIDS: a model and a narrative review. ( 0,741360422137826 )
BMC Med Inform Decis Mak - Development and initial evaluation of a treatment decision dashboard. ( 0,73754632374389 )
BMC Med Inform Decis Mak - The design of a low literacy decision aid about rheumatoid arthritis medications developed in three languages for use during the clinical encounter. ( 0,731884691936769 )
BMC Med Inform Decis Mak - Assessing the information desire of patients with advanced cancer by providing information with a decision aid, which is evaluated in a randomized trial: a study protocol. ( 0,728665080492989 )
AMIA Annu Symp Proc - An information-centric framework for designing patient-centered medical decision aids and risk communication. ( 0,716663741193735 )
BMC Med Inform Decis Mak - Launching a virtual decision lab: development and field-testing of a web-based patient decision support research platform. ( 0,715115411062442 )
BMC Med Inform Decis Mak - Genders of patients and clinicians and their effect on shared decision making: a participant-level meta-analysis. ( 0,712268908905806 )
BMC Med Inform Decis Mak - Development of a decision aid to inform patients' and families' renal replacement therapy selection decisions. ( 0,712255213683874 )
BMC Med Inform Decis Mak - User needs elicitation via analytic hierarchy process (AHP). A case study on a Computed Tomography (CT) scanner. ( 0,711312785824259 )
Med Decis Making - Decision coaching to prepare patients for making health decisions: a systematic review of decision coaching in trials of patient decision AIDS. ( 0,710829247169297 )
BMC Med Inform Decis Mak - Developing and user-testing Decision boxes to facilitate shared decision making in primary care--a study protocol. ( 0,708946177336266 )
Med Decis Making - Perceptions of shared decision making and decision aids among rural primary care clinicians. ( 0,705639621825281 )
BMC Med Inform Decis Mak - Visual AIDS for multimodal treatment options to support decision making of patients with colorectal cancer. ( 0,705163342255298 )
Comput Methods Programs Biomed - AngioLab--a software tool for morphological analysis and endovascular treatment planning of intracranial aneurysms. ( 0,700988919745614 )
Int J Health Geogr - Mass casualty modelling: a spatial tool to support triage decision making. ( 0,697885959702885 )
BMC Med Inform Decis Mak - Risk assessment and decision making about in-labour transfer from rural maternity care: a social judgment and signal detection analysis. ( 0,697531702837027 )
BMC Med Inform Decis Mak - Arriba-lib: evaluation of an electronic library of decision aids in primary care physicians. ( 0,693836638622863 )
BMC Med Inform Decis Mak - Basing information on comprehensive, critically appraised, and up-to-date syntheses of the scientific evidence: a quality dimension of the International Patient Decision Aid Standards. ( 0,693446511623971 )
Med Decis Making - Contributions of Second Opinions, Outcome Forecasts, and Testimonials to Patient Decisions about Knee Replacement Surgery. ( 0,691749520425077 )
Int J Med Inform - Pharmacist-conducted medication reconciliation at hospital admission using information technology in Taiwan. ( 0,687679615931079 )
Med Decis Making - Investing in deliberation: a definition and classification of decision support interventions for people facing difficult health decisions. ( 0,686781488072581 )
Med Decis Making - When decisions should be shared: a study of social norms in medical decision making using a factorial survey approach. ( 0,684431529955068 )
Med Decis Making - What is known about parents' treatment decisions? A narrative review of pediatric decision making. ( 0,68189988099335 )
BMC Med Inform Decis Mak - Development and preliminary user testing of the DCIDA (Dynamic computer interactive decision application) for 'nudging' patients towards high quality decisions. ( 0,67948612291106 )
BMC Med Inform Decis Mak - Development and pilot testing of an online case-based approach to shared decision making skills training for clinicians. ( 0,678180324682645 )
Healthc (Amst) - Incentivizing shared decision making in the USA--where are we now? ( 0,677672381472473 )
AMIA Annu Symp Proc - Revisiting the EBM decision model to formalize non-compliance with computerized CPGs: results in the management of breast cancer with OncoDoc2. ( 0,665309873188663 )
Med Decis Making - The impact of a novel computer-based decision aid on shared decision making for colorectal cancer screening: a randomized trial. ( 0,660952995503733 )
Med Decis Making - Are medical outcomes fungible? A survey of voters, medical administrators, and physicians. ( 0,659694001750769 )
Int J Med Inform - Advancing cognitive engineering methods to support user interface design for electronic health records. ( 0,656070673737322 )
AMIA Annu Symp Proc - Supporting shared decision making within the MobiGuide project. ( 0,654071365527795 )
Med Decis Making - Preferences and perceived involvement in treatment decision making among Chinese patients with chronic hepatitis. ( 0,652362455250325 )
J. Med. Internet Res. - Development and evaluation of the personal patient profile-prostate (P3P), a Web-based decision support system for men newly diagnosed with localized prostate cancer. ( 0,649935320816775 )
BMC Med Inform Decis Mak - Congruence between patients' preferred and perceived participation in medical decision-making: a review of the literature. ( 0,649310154333831 )
BMC Med Inform Decis Mak - Event-based knowledge elicitation of operating room management decision-making using scenarios adapted from information systems data. ( 0,646681394892565 )
AMIA Annu Symp Proc - Patient clinical profiles associated with physician non-compliance despite the use of a guideline-based decision support system: a case study with OncoDoc2 using data mining techniques. ( 0,641984906112286 )
J Med Syst - The reliability of an epilepsy treatment clinical decision support system. ( 0,641773098368696 )
BMC Med Inform Decis Mak - Clarifying values: an updated review. ( 0,641763574306697 )
Appl Clin Inform - A retrospective analysis of interruptive versus non-interruptive clinical decision support for identification of patients needing contact isolation. ( 0,639708449355258 )
BMC Med Inform Decis Mak - Development of a tool to improve the quality of decision making in atrial fibrillation. ( 0,638790593046809 )
J Med Syst - Mobile clinical decision support systems and applications: a literature and commercial review. ( 0,637073387181186 )
Med Decis Making - Choosing a hospital for surgery: the importance of information on quality of care. ( 0,63536417022177 )
Perspect Health Inf Manag - A patient survey assessing the awareness and acceptability of the emergency care summary and its consent model in Scotland. ( 0,634555321704721 )
Int J Med Inform - Online usability and patients with long-term conditions: a mixed-methods approach. ( 0,634234233435717 )
BMC Med Inform Decis Mak - Barriers and facilitators to implementing Decision Boxes in primary healthcare teams to facilitate shared decisionmaking: a study protocol. ( 0,633464965292765 )
Int J Med Inform - Electre Tri-C, a multiple criteria decision aiding sorting model applied to assisted reproduction. ( 0,633373247072033 )
J Med Syst - VIKOR method with enhanced accuracy for multiple criteria decision making in healthcare management. ( 0,631282124795221 )
Med Decis Making - Breast cancer patients' treatment expectations after exposure to the decision aid program adjuvant online: the influence of numeracy. ( 0,631097993078831 )
Med Decis Making - An emerging field of research: challenges in pediatric decision making. ( 0,628389155808357 )
Med Decis Making - Interpreting patient decisional conflict scores: behavior and emotions in decisions about treatment. ( 0,625566038010922 )
Med Decis Making - Theoretical foundation of patient v. population preferences in calculating QALYs. ( 0,623815873693326 )
J Telemed Telecare - Approaches to economic evaluation in telemedicine. ( 0,62374516483313 )
BMC Med Inform Decis Mak - Usability testing of ANSWER: a web-based methotrexate decision aid for patients with rheumatoid arthritis. ( 0,621492851107275 )
Med Decis Making - All stories are not alike: a purpose-, content-, and valence-based taxonomy of patient narratives in decision aids. ( 0,620648921948603 )
Med Decis Making - Choice set size and decision making: the case of Medicare Part D prescription drug plans. ( 0,61819778423986 )
Med Decis Making - The context of available options affects health care decisions: a generalization study. ( 0,617890610460875 )
Med Decis Making - Content coding for contextualization of care: evaluating physician performance at patient-centered decision making. ( 0,613240953471034 )
J Am Med Inform Assoc - Triaging patients at risk of influenza using a patient portal. ( 0,612648237903186 )
BMC Med Inform Decis Mak - Disclosing conflicts of interest in patient decision aids. ( 0,612019503083154 )
BMC Med Inform Decis Mak - Development of a personalized decision aid for breast cancer risk reduction and management. ( 0,611445390103527 )
BMC Med Inform Decis Mak - Refining a brief decision aid in stable CAD: cognitive interviews. ( 0,611278204234641 )
BMC Med Inform Decis Mak - Coaching and guidance with patient decision aids: A review of theoretical and empirical evidence. ( 0,608816164231499 )
BMC Med Inform Decis Mak - Do personal stories make patient decision aids more effective? A critical review of theory and evidence. ( 0,608003295890776 )
IEEE J Biomed Health Inform - Leveraging social supports for improving personal expertise on ACL reconstruction and rehabilitation. ( 0,606717368117736 )
Appl Clin Inform - Cognitive analysis of decision support for antibiotic ordering in a neonatal intensive care unit. ( 0,606272373816036 )
BMC Med Inform Decis Mak - Data mining of audiology patient records: factors influencing the choice of hearing aid type. ( 0,603660216404539 )
Artif Intell Med - From decision to shared-decision: Introducing patients' preferences into clinical decision analysis. ( 0,602328634795772 )
AMIA Annu Symp Proc - Role of physicians' reactance in e-iatrogenesis: a case study with ASTI guiding mode on the management of hypertension. ( 0,600996267892076 )
J. Med. Internet Res. - Assessing the acceptability and usability of an interactive serious game in aiding treatment decisions for patients with localized prostate cancer. ( 0,600194939534886 )
Med Decis Making - Framing Options as Choice or Opportunity: Does the Frame Influence Decisions? ( 0,600055019933457 )
Med Decis Making - A model to support shared decision making in electronic health records systems. ( 0,595478417578752 )
J. Med. Internet Res. - Supporting informed decision making online in 20 minutes: an observational web-log study of a PSA test decision aid. ( 0,595354776677744 )
AMIA Annu Symp Proc - Sim?TwentyFive: an interactive visualization system for data-driven decision support. ( 0,593789375359885 )
J. Med. Internet Res. - The effect of patient narratives on information search in a web-based breast cancer decision aid: an eye-tracking study. ( 0,592961657439057 )
BMC Med Inform Decis Mak - Shared decision-making and health for First Nations, M?tis and Inuit women: a study protocol. ( 0,591864731942173 )
J Med Syst - Comparison of AI techniques for prediction of liver fibrosis in hepatitis patients. ( 0,591818252394255 )
BMC Med Inform Decis Mak - The SAKK cancer-specific geriatric assessment (C-SGA): a pilot study of a brief tool for clinical decision-making in older cancer patients. ( 0,590880864950099 )
Med Decis Making - Advance care planning norms may contribute to hospital variation in end-of-life ICU use: a simulation study. ( 0,586865384612702 )
J Telemed Telecare - Trial of telemedicine for patients on home ventilator support: feasibility, confidence in clinical management and use in medical decision-making. ( 0,585891755073964 )
J. Med. Internet Res. - Cool but counterproductive: interactive, Web-based risk communications can backfire. ( 0,585534595189157 )
Med Decis Making - Cognitive biases and heuristics in medical decision making: a critical review using a systematic search strategy. ( 0,582046371224082 )
J. Med. Internet Res. - A web-based tool to support shared decision making for people with a psychotic disorder: randomized controlled trial and process evaluation. ( 0,581788041128021 )
Med Decis Making - Surrogate decision making: do we have to trade off accuracy and procedural satisfaction? ( 0,580472833776739 )
J Am Med Inform Assoc - Imaging informatics for consumer health: towards a radiology patient portal. ( 0,58019150893528 )
BMC Med Inform Decis Mak - Development and pilot testing of a decision aid for drivers with dementia. ( 0,579449784321627 )
J Am Med Inform Assoc - Workshop on using natural language processing applications for enhancing clinical decision making: an executive summary. ( 0,576653748467289 )
BMC Med Inform Decis Mak - Diagnosis and management of people with venous thromboembolism and advanced cancer: how do doctors decide? A qualitative study. ( 0,57580518095256 )
J Telemed Telecare - Use of telehealth for patients referred to a retrieval service: timing, destination, mode of transport, escort level and patient care. ( 0,575130667363997 )
J Biomed Inform - Opportunistic decision making and complexity in emergency care. ( 0,573951394481915 )
Med Decis Making - Why do patients derogate physicians who use a computer-based diagnostic support system? ( 0,572157368858543 )
BMC Med Inform Decis Mak - A regret theory approach to decision curve analysis: a novel method for eliciting decision makers' preferences and decision-making. ( 0,57113246472334 )
BMC Med Inform Decis Mak - A randomized study of telephonic care support in populations at risk for musculoskeletal preference-sensitive surgeries. ( 0,570868719559221 )
Med Decis Making - Can Streamlined Multicriteria Decision Analysis Be Used to Implement Shared Decision Making for Colorectal Cancer Screening? ( 0,570326193092336 )
J Med Syst - Implementing an integrative multi-agent clinical decision support system with open source software. ( 0,570092380631248 )
Med Decis Making - Factors Associated with Informed Decisions and Participation in Bowel Cancer Screening among Adults with Lower Education and Literacy. ( 0,567375457025737 )
Telemed J E Health - Teledermatology via a social networking web site: a pilot study between a general hospital and a rural clinic. ( 0,566578402085145 )
BMC Med Inform Decis Mak - Incorporating patient and family preferences into evidence-based medicine. ( 0,565308931787631 )
J Med Syst - Determining patient preferences for remote monitoring. ( 0,564731291759314 )
BMC Med Inform Decis Mak - Measuring decision quality: psychometric evaluation of a new instrument for breast cancer chemotherapy. ( 0,564667888799477 )
J Am Med Inform Assoc - A clinical decision support needs assessment of community-based physicians. ( 0,564648477823109 )