OBJECTIVES: The purpose of this paper is to examine past and present medical decision support systems and the environment in which they operate and to propose specific research tracks that improve integration and adoption of these systems in today's health care systems. METHODS: In preamble, we examine the objectives, decision models, and performances of past decision support systems. RESULTS: Medical decision support tools were essentially formulated from a technical capability perspective and this view has met limited adoption and slowed down new development as well as integration of these important systems into patient management work flows and clinical information systems...
Keywords: Medical decision support systems, Evidence-based Medicine, Clinical Practice Guidelines, Medical prac-tice, shared decision-making, patient empowerment, technology adoption barriers and drivers.
01/2003 | Methods of Information in Medicine, SchattauerClinical Governance is a framework through which the National Health Service (NHS) organisations in the UK are accountable for continuously improving the quality of their services and safeguarding high standards by creating an environment in which excellence in clinical care will flourish...
Keywords: Clinical Governance, Healthcare Commission, Patient Advocacy and Liaison Service, patient and public involvement, patient empowerment
06/2006 | Clinical Chemical Laboratory Medicine, Walter de Gruyter