Methods Inf Med - Present situation and prospect of medical knowledge based systems in German-speaking countries: results of an online survey.

Tópicos

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{ case(1353) use(1143) diagnosi(1136) }
{ perform(1367) use(1326) method(1137) }
{ high(1669) rate(1365) level(1280) }
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{ can(981) present(881) function(850) }
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Resumo

CKGROUND: After a decrease of interest in classical medical expert systems, the publication activity concerning the medical application of Artificial Intelligence and the interest in medical decision support have markedly increased. Nonetheless, no systematic exploratory study has yet been carried out, which directly considers the actual fields of applications, exemplary approaches, obstacles, challenges, and future prospect as seen by pioneering users and developers in a given region.OBJECTIVES: This paper reports the results of an online survey designed to fill this gap with the "Knowledge Based Systems" working group of the German Society for Medical Informatics, Biometry and Epidemiology (GMDS) in 2010.METHODS: The survey was based on an online questionnaire (5 single and multiple choice questions, 8 Likert-scaled items, 7 free text questions) consented to by the working group. The answers were analyzed by descriptive statistics and a qualitative analysis (bottom-up coding). All academic institutions of Medical Informatics in the German-speaking countries and contributors reporting KBS-related projects at the relevant scientific conferences and in a journal specialized in the field were invited to participate.RESULTS: The survey reached a response rate of 33.4%. The results show a gap between the reported obstacles of medical KBS (mainly low acceptance and rare use in clinical practice) and their future prospect as stated by the participants. Problems previously discussed in the literature like low acceptance, integration, and sustainability of KBS projects were confirmed. The current situation was characterized by naming exemplary existing systems and specifying promising fields of application.CONCLUSIONS: The field of KBS in medicine is more diversified and has evolved beyond expectations in the German-speaking countries.

Resumo Limpo

ckground decreas interest classic medic expert system public activ concern medic applic artifici intellig interest medic decis support mark increas nonetheless systemat exploratori studi yet carri direct consid actual field applic exemplari approach obstacl challeng futur prospect seen pioneer user develop given regionobject paper report result onlin survey design fill gap knowledg base system work group german societi medic informat biometri epidemiolog gmds method survey base onlin questionnair singl multipl choic question likertsc item free text question consent work group answer analyz descript statist qualit analysi bottomup code academ institut medic informat germanspeak countri contributor report kbsrelat project relev scientif confer journal special field invit participateresult survey reach respons rate result show gap report obstacl medic kbs main low accept rare use clinic practic futur prospect state particip problem previous discuss literatur like low accept integr sustain kbs project confirm current situat character name exemplari exist system specifi promis field applicationconclus field kbs medicin diversifi evolv beyond expect germanspeak countri

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