TY - GEN
T1 - A mixed-initiative approach to the conciliation of clinical guidelines for comorbid patients
AU - Piovesan, Luca
AU - Terenziani, Paolo
N1 - Publisher Copyright:
© Springer International Publishing Switzerland 2015.
PY - 2015
Y1 - 2015
N2 - The treatment of patients affected by multiple pathologies (comorbid patients) is one of the main challenges for the modern healthcare. Clinical practice guidelines provide evidence-based information about interventions considering only single pathologies. To support physicians in the treatment of comorbid patients, suitable methodologies must be devised. In our previous work, we have (i) devised an ontology of interactions, (ii) proposed a mixed-initiative approach (based on the ontology) to support physicians in the detection of interactions between guidelines, and (iii) extended our approach to consider the temporal dimension. In this paper, we move a step forward, by (iv) identifying a set of practical “management options” used by physicians in their daily practice to manage interactions between guidelines and (v) providing the methodologies to support physicians in the application of such management options in reconciling the guidelines. Finally, we also extend our approach to consider (vi) interactions between guideline recommendations and patient status. In such a way, we provide physicians with a framework for investigating different ways to reconcile guidelines, coping (with different modalities) with the focused interactions.
AB - The treatment of patients affected by multiple pathologies (comorbid patients) is one of the main challenges for the modern healthcare. Clinical practice guidelines provide evidence-based information about interventions considering only single pathologies. To support physicians in the treatment of comorbid patients, suitable methodologies must be devised. In our previous work, we have (i) devised an ontology of interactions, (ii) proposed a mixed-initiative approach (based on the ontology) to support physicians in the detection of interactions between guidelines, and (iii) extended our approach to consider the temporal dimension. In this paper, we move a step forward, by (iv) identifying a set of practical “management options” used by physicians in their daily practice to manage interactions between guidelines and (v) providing the methodologies to support physicians in the application of such management options in reconciling the guidelines. Finally, we also extend our approach to consider (vi) interactions between guideline recommendations and patient status. In such a way, we provide physicians with a framework for investigating different ways to reconcile guidelines, coping (with different modalities) with the focused interactions.
KW - Combining medical guidelines
KW - Comorbidities
KW - Computer-interpretable clinical guidelines
KW - Knowledge representation and ontologies
UR - http://www.scopus.com/inward/record.url?scp=84952666029&partnerID=8YFLogxK
U2 - 10.1007/978-3-319-26585-8_7
DO - 10.1007/978-3-319-26585-8_7
M3 - Conference contribution
AN - SCOPUS:84952666029
SN - 9783319265841
T3 - Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)
SP - 95
EP - 108
BT - Knowledge Representation for Health Care - AIME 2015 International Joint Workshop, KR4HC/ProHealth 2015, Revised Selected Papers
A2 - Reichert, Manfred
A2 - Riaño, David
A2 - Peleg, Mor
A2 - ten Teije, Annette
A2 - Lenz, Richard
A2 - Miksch, Silvia
PB - Springer Verlag
T2 - Artificial Intelligence in Medicine Conference, AIME 2015 held with International Joint Workshop on Knowledge-Representation for Health-Care and Process-Oriented Information Systems in Health-Care, KR4HC/ProHealth 2015
Y2 - 20 June 2015 through 20 June 2015
ER -