Patient-oriented computerized clinical guidelines for mobile decision support in gestational diabetes

García Sáez, Gema; Rigla Cros, Mercedes; Martínez Sarriegui, Iñaki; Shalom, Erez; Peleg, Mor; Broens, Tom; Pons, Belén; Caballero Ruiz, Estefanía; Gómez Aguilera, Enrique J. y Hernando Pérez, María Elena (2014). Patient-oriented computerized clinical guidelines for mobile decision support in gestational diabetes. "Journal of Diabetes Science and Technology", v. 8 (n. 2); pp. 238-246. ISSN 1932-2968. https://doi.org/10.1177/1932296814526492.

Descripción

Título: Patient-oriented computerized clinical guidelines for mobile decision support in gestational diabetes
Autor/es:
  • García Sáez, Gema
  • Rigla Cros, Mercedes
  • Martínez Sarriegui, Iñaki
  • Shalom, Erez
  • Peleg, Mor
  • Broens, Tom
  • Pons, Belén
  • Caballero Ruiz, Estefanía
  • Gómez Aguilera, Enrique J.
  • Hernando Pérez, María Elena
Tipo de Documento: Artículo
Título de Revista/Publicación: Journal of Diabetes Science and Technology
Fecha: Marzo 2014
Volumen: 8
Materias:
Palabras Clave Informales: Clinical guidelines, decision support system, gestational diabetes, m-health, telemedicine
Escuela: E.T.S.I. Telecomunicación (UPM)
Departamento: Tecnología Fotónica y Bioingeniería
Licencias Creative Commons: Reconocimiento - Sin obra derivada - No comercial

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Resumen

The risks associated with gestational diabetes (GD) can be reduced with an active treatment able to improve glycemic control. Advances in mobile health can provide new patient-centric models for GD to create personalized health care services, increase patient independence and improve patients’ self-management capabilities, and potentially improve their treatment compliance. In these models, decision-support functions play an essential role. The telemedicine system MobiGuide provides personalized medical decision support for GD patients that is based on computerized clinical guidelines and adapted to a mobile environment. The patient’s access to the system is supported by a smartphone-based application that enhances the efficiency and ease of use of the system. We formalized the GD guideline into a computer-interpretable guideline (CIG). We identified several workflows that provide decision-support functionalities to patients and 4 types of personalized advice to be delivered through a mobile application at home, which is a preliminary step to providing decision-support tools in a telemedicine system: (1) therapy, to help patients to comply with medical prescriptions; (2) monitoring, to help patients to comply with monitoring instructions; (3) clinical assessment, to inform patients about their health conditions; and (4) upcoming events, to deal with patients’ personal context or special events. The whole process to specify patient-oriented decision support functionalities ensures that it is based on the knowledge contained in the GD clinical guideline and thus follows evidence-based recommendations but at the same time is patient-oriented, which could enhance clinical outcomes and patients’ acceptance of the whole system.

Más información

ID de Registro: 35141
Identificador DC: http://oa.upm.es/35141/
Identificador OAI: oai:oa.upm.es:35141
Identificador DOI: 10.1177/1932296814526492
URL Oficial: http://dst.sagepub.com/content/8/2/238
Depositado por: Memoria Investigacion
Depositado el: 04 Ago 2015 16:36
Ultima Modificación: 04 Ago 2015 16:36
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