META-GLARE’s Supports to Agent Coordination

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Abstract

Clinical Guidelines (GLs) provide evidence-based recommendations to suggest to physicians the “best” medical treatments, and are widely used to enhance the quality of patient care, and to optimize it. In many cases, the treatment of patients cannot be provided by a unique healthcare agent, operating in a unique context. For instance, the treatment of chronic patients is usually performed not only in the hospital, but also at home and\or in the general practitioner’s ambulatory, and many healthcare agents (e.g., different specialist, nurses, family doctor) may be involved. To grant the quality of the treatments, all such agents must cooperate and interact. A computer-based support to GL execution is important to provide facilities for coordinating such different agents, and for granting that, at any time, the actions to be executed have a “proper” person in charge and executor, and are executed in the correct context. Additionally, also facilities to support the delegation of responsibility should also be considered. In this paper we extend META-GLARE, a computerized GL management system, to support such needs providing facilities for (1) treatment continuity (2) action contextualization, (3) responsibility assignment and delegation (4) check of agent “appropriateness”. Specific attention is also devoted to the temporal dimension, to grant that each action is executed according to the temporal constraints possibly present in the GL. We illustrate our approach by means of a practical case study.

Lingua originaleInglese
Titolo della pubblicazione ospiteBiomedical Engineering Systems and Technologies - 11th International Joint Conference, BIOSTEC 2018, Revised Selected Papers
EditorSergi Bermúdez i Badia, Alberto Cliquet, Sheldon Wiebe, Reyer Zwiggelaar, Paul Anderson, Ana Fred, Hugo Gamboa, Giovanni Saggio
EditoreSpringer Verlag
Pagine464-496
Numero di pagine33
ISBN (stampa)9783030291952
DOI
Stato di pubblicazionePubblicato - 2019
Evento11th International Joint Conference on Biomedical Engineering Systems and Technologies, BIOSTEC 2018 - Funchal, Portugal
Durata: 19 gen 201821 gen 2018

Serie di pubblicazioni

NomeCommunications in Computer and Information Science
Volume1024
ISSN (stampa)1865-0929
ISSN (elettronico)1865-0937

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???event.eventtypes.event.conference???11th International Joint Conference on Biomedical Engineering Systems and Technologies, BIOSTEC 2018
Paese/TerritorioPortugal
CittàFunchal
Periodo19/01/1821/01/18

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