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引用次数: 0
摘要
计算机化临床决策支持系统（CDSS）越来越多地被用于促进临床医生在复杂决策过程中的作用。本系统综述评估了为支持基层医疗机构预防中风的决策过程而开发和测试的现有 CDSS 的证据，以及在基层医疗机构实际应用的障碍。对 Web of Science、Medline Ovid、Embase Ovid 和 Cinahl 进行了系统检索。本综述共汇总了五项实验性和观察性研究。本综述发现 CDSS 可促进初级医疗机构在中风预防方案中的决策过程。然而，在设计、实施和使用 CDSS 的过程中也发现了一些障碍。
The Role of Clinical Decision Support Systems in Preventing Stroke in Primary Care: A Systematic Review.
Computerized clinical decision support systems (CDSS) are increasingly being used to facilitate the role of clinicians in complex decision-making processes. This systematic review evaluates evidence of the available CDSS developed and tested to support the decision-making process in primary healthcare for stroke prevention and barriers to practical implementations in primary care settings. A systematic search of Web of Science, Medline Ovid, Embase Ovid, and Cinahl was done. A total of five studies, experimental and observational, were synthesised in this review. This review found that CDSS facilitate decision-making processes in primary health care settings in stroke prevention options. However, barriers were identified in designing, implementing, and using the CDSS.
期刊介绍：
Perspectives in Health Information Management is a scholarly, peer-reviewed research journal whose mission is to advance health information management practice and to encourage interdisciplinary collaboration between HIM professionals and others in disciplines supporting the advancement of the management of health information. The primary focus is to promote the linkage of practice, education, and research and to provide contributions to the understanding or improvement of health information management processes and outcomes.
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