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ERIC Number: ED558314
Record Type: Non-Journal
Publication Date: 2011
Pages: 106
Abstractor: As Provided
Reference Count: N/A
ISBN: 978-1-3032-5923-4
Insights from a User-Centered Approach to Computerized Guidelines for Chronic Disease
Shaten, Barbara Jessica
ProQuest LLC, Ph.D. Dissertation, University of Minnesota
For more than two decades, the medical informatics community has worked towards representing evidence-based guidelines in computer code, intended to be executed at the point of care. The purpose is to close the gap between evidence of best medical practices and the care that patients receive. Most informatics work has taken a "guideline-centric" approach, focusing primarily on the guidelines rather than the physicians who are the intended users. The "HIT Asthma project" took a "user-centric" approach towards developing, implementing and evaluating the effects of a computerized decision support (CDS) tool for ambulatory asthma care. The user-centricity yielded findings that questioned the ability of guidelines to support medical work, raised ethical concerns, and challenged the epistemic foundations of the evidence which the guidelines are intended to impart. The approach also demonstrated how CDS tools for chronic disease could become prototypical technologies to support a "Healthcare System that Learns", a vision promulgated by the Institute of Medicine Roundtable on Evidence-Based Medicine. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page:]
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Publication Type: Dissertations/Theses - Doctoral Dissertations
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A