论文标题
PGHD可靠性对临床决策支持系统有用性的影响
Impact of PGHD reliability on the usefulness of a clinical decision support system
论文作者
论文摘要
在医疗咨询期间使用个人生成的健康数据（PGHD）对患者和临床医生都有益。但是，诸如缺乏PGHD可靠性之类的多个接受障碍会阻止此数据的常规使用。已经开发出一种称为Fullflow的临床决策支持系统来解决这些接受障碍。这项研究的目的是确定在磋商期间富量是否有用，并验证较高的PGHD可靠性的假设，系统越有效。该评估依赖于医疗飞行员，在此期间，临床医生和糖尿病患者在医疗咨询期间使用了富量。除系统日志外，数据收集还依赖于召集后问卷。这项研究表明，绝大多数咨询的PGHD可靠性较低。根据回答问卷的临床医生的说法，显示的信息在一半的咨询中很有用。尽管如此，回答问卷的绝大多数临床医生发现，设计的富量系统允许对患者的状况有所了解。该研究表明，PGHD可靠性越高，系统对临床医生的有用越多。临床环境中的PGHD用法可以使临床医生获得有关患者情况的宝贵信息。临床决策系统可以向临床医生提供有用的信息。尽管PGHD的可靠性与此类系统的实用性相关，但它并不是影响它的唯一因素：临床医生和患者的背景（例如使用新颖和个人目标）在确定该系统如何对临床医生有用的情况下发挥了作用。但是，由于参与者的数量有限，必须执行新的医疗飞行员才能确认这项研究的结果。
Using personal generated health data (PGHD) during medical consultations can be beneficial for both patients and clinicians. However, multiple acceptance barriers such as lack of PGHD reliability prevents a routine usage of this data. A clinical decision support system, called FullFlow, has been developed to address these acceptance barriers. The objective of this study was to determine if FullFlow was useful during consultations and to verify the hypothesis that the higher PGHD reliability, the more effective the system is. The assessment relied on a medical pilot during which clinicians and patients with diabetes used the FullFlow during medical consultations. The data collection relied on a post-consultation questionnaire in addition to system logs. This study showed that the PGHD reliability was low for an overwhelming majority of consultations. The information displayed was useful in half of the consultations according to the clinicians who answered the questionnaire. Despite this, the overwhelming majority of clinicians who answered the questionnaire found that the designed FullFlow system permitted to gain insights of the situation of the patients. The study showed the higher the PGHD reliability is, the more useful the system is for clinicians. PGHD usage in clinical settings can permit clinicians to gain valuable information regarding the situations of their patients. A clinical decision system can present useful information to clinicians. While the PGHD reliability is correlated to the usefulness of such system, it is not the only factor impacting it: context of the clinicians and patients such as novelty of usage and personal goals also plays a role in determining on how such system is useful for clinicians. However, due to a limited number of participants, a new medical pilot must be performed in order to confirm the results of this study.
