TY - JOUR
KW - Aged
KW - Decision Support Systems, Clinical
KW - Decision Trees
KW - Dementia/diagnosis/therapy
KW - Expert Systems
KW - Family Practice
KW - Great Britain
KW - Humans
KW - User-Computer Interface
AU - S. Iliffe
AU - T. Austin
AU - J. Wilcock
AU - M. Bryans
AU - S. Turner
AU - M. Downs
A1 - 
AB - BACKGROUND: Diagnosis and management of dementia is a complex process and primary care physicians are under-equipped to deal with uncertainties in the provision of optimal care for the patient. OBJECTIVE: To develop a computer decision support system (CDSS) which could assist physicians with diagnosis and management and improve patient care. METHODS: A design group including general practitioners derived logic pathways for diagnosis and management of dementia and validated them with a multiprofessional expert group. Logic pathways were used to construct a comprehensive CDSS rendered as a series of expert consultations. The CDSS was inserted into commercially available GP systems and bench and field-tested. RESULTS: The complexity of dementia diagnosis and management can be captured in logic pathways which can be expressed as decision trees within existing electronic patient records. The resulting CDSS appears useable in routine practice. CONCLUSION: The impact of this CDSS will be evaluated in a randomised controlled trial of educational interventions in primary care.
BT - Methods of information in medicine
C5 - HIT & Telehealth
CP - 2
CY - Germany
IS - 2
JF - Methods of information in medicine
N2 - BACKGROUND: Diagnosis and management of dementia is a complex process and primary care physicians are under-equipped to deal with uncertainties in the provision of optimal care for the patient. OBJECTIVE: To develop a computer decision support system (CDSS) which could assist physicians with diagnosis and management and improve patient care. METHODS: A design group including general practitioners derived logic pathways for diagnosis and management of dementia and validated them with a multiprofessional expert group. Logic pathways were used to construct a comprehensive CDSS rendered as a series of expert consultations. The CDSS was inserted into commercially available GP systems and bench and field-tested. RESULTS: The complexity of dementia diagnosis and management can be captured in logic pathways which can be expressed as decision trees within existing electronic patient records. The resulting CDSS appears useable in routine practice. CONCLUSION: The impact of this CDSS will be evaluated in a randomised controlled trial of educational interventions in primary care.
PP - Germany
PY - 2002
SN - 0026-1270; 0026-1270
SP - 98
EP - 104
EP - 
T1 - Design and implementation of a computer decision support system for the diagnosis and management of dementia syndromes in primary care
T2 - Methods of information in medicine
TI - Design and implementation of a computer decision support system for the diagnosis and management of dementia syndromes in primary care
U1 - HIT & Telehealth
U2 - 12061130
VL - 41
VO - 0026-1270; 0026-1270
Y1 - 2002
ER -