J Am Med Inform Assoc - Towards public health decision support: a systematic review of bidirectional communication approaches.

Tópicos

{ care(1570) inform(1187) nurs(1089) }
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{ can(774) often(719) complex(702) }
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{ patient(2315) diseas(1263) diabet(1191) }
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{ method(984) reconstruct(947) comput(926) }
{ featur(1941) imag(1645) propos(1176) }
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{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ age(1611) year(1155) adult(843) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
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{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
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{ estim(2440) model(1874) function(577) }
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{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

JECTIVE: To summarize the literature describing computer-based interventions aimed at improving bidirectional communication between clinical and public health.MATERIALS AND METHODS: A systematic review of English articles using MEDLINE and Google Scholar. Search terms included public health, epidemiology, electronic health records, decision support, expert systems, and decision-making. Only articles that described the communication of information regarding emerging health threats from public health agencies to clinicians or provider organizations were included. Each article was independently reviewed by two authors.RESULTS: Ten peer-reviewed articles highlight a nascent but promising area of research and practice related to alerting clinicians about emerging threats. Current literature suggests that additional research and development in bidirectional communication infrastructure should focus on defining a coherent architecture, improving interoperability, establishing clear governance, and creating usable systems that will effectively deliver targeted, specific information to clinicians in support of patient and population decision-making.CONCLUSIONS: Increasingly available clinical information systems make it possible to deliver timely, relevant knowledge to frontline clinicians in support of population health. Future work should focus on developing a flexible, interoperable infrastructure for bidirectional communications capable of integrating public health knowledge into clinical systems and workflows.

Resumo Limpo

jectiv summar literatur describ computerbas intervent aim improv bidirect communic clinic public healthmateri method systemat review english articl use medlin googl scholar search term includ public health epidemiolog electron health record decis support expert system decisionmak articl describ communic inform regard emerg health threat public health agenc clinician provid organ includ articl independ review two authorsresult ten peerreview articl highlight nascent promis area research practic relat alert clinician emerg threat current literatur suggest addit research develop bidirect communic infrastructur focus defin coher architectur improv interoper establish clear govern creat usabl system will effect deliv target specif inform clinician support patient popul decisionmakingconclus increas avail clinic inform system make possibl deliv time relev knowledg frontlin clinician support popul health futur work focus develop flexibl interoper infrastructur bidirect communic capabl integr public health knowledg clinic system workflow

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