The technical landscape for patient-centered CDS: progress, gaps, and challenges.
clinical decision support
patient-centered care, patient-generated health data
Journal
Journal of the American Medical Informatics Association : JAMIA
ISSN: 1527-974X
Titre abrégé: J Am Med Inform Assoc
Pays: England
ID NLM: 9430800
Informations de publication
Date de publication:
11 05 2022
11 05 2022
Historique:
received:
29
11
2021
revised:
31
01
2022
accepted:
23
02
2022
pubmed:
10
3
2022
medline:
18
5
2022
entrez:
9
3
2022
Statut:
ppublish
Résumé
Supporting healthcare decision-making that is patient-centered and evidence-based requires investments in the development of tools and techniques for dissemination of patient-centered outcomes research findings via methods such as clinical decision support (CDS). This article explores the technical landscape for patient-centered CDS (PC CDS) and the gaps in making PC CDS more shareable, standards-based, and publicly available, with the goal of improving patient care and clinical outcomes. This landscape assessment used: (1) a technical expert panel; (2) a literature review; and (3) interviews with 18 CDS stakeholders. We identified 7 salient technical considerations that span 5 phases of PC CDS development. While progress has been made in the technical landscape, the field must advance standards for translating clinical guidelines into PC CDS, the standardization of CDS insertion points into the clinical workflow, and processes to capture, standardize, and integrate patient-generated health data.
Identifiants
pubmed: 35263437
pii: 6545920
doi: 10.1093/jamia/ocac029
pmc: PMC9093031
doi:
Types de publication
Journal Article
Research Support, U.S. Gov't, P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
1101-1105Subventions
Organisme : Agency for Healthcare Research and Quality (AHRQ), Rockville
ID : HHSP233201500023I
Informations de copyright
© The Author(s) 2022. Published by Oxford University Press on behalf of the American Medical Informatics Association.
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