Experiences in the Development of Electronic Care Plans for the Management of Comorbidities
Recent studies have shown that care plans with comprehensive home interventions can be effective in the management of chronic patients. Evidence also exists about the importance of tailoring these care plans to patients, by integrating comorbidities. In this context, the development, implementation, outcome analysis, and reengineering of care plans adapted to particular patient groups earn relevance. We are concerned with the development and reengineering of electronic care plans dealing with comorbidities. Our hypothesis is that a library of reusable care plan components can facilitate these tasks. To confirm this hypothesis we have carried out an experiment consisting in developing a library of care plan components for the management of patients with COPD or CHF, and next building a care plan for stable COPD&CHF patients by (re)using these components. In this paper we report on this experiment.
KeywordsCare plans knowledge modelling reusable components guideline representation languages PROforma
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- 1.Barretto, S.A.: Designing Guideline-based Workflow-integrated Electronic Health Records. PhD thesis, School of Computer and Information Science, University of South Australia (2005)Google Scholar
- 2.Casas, A., Troosters, T., Garcia-Aymerich, J., Roca, J., Hernández, C., Alonso, A., del Pozo, F., de Toledo, P., Antó, J., Rodríguez-Roisín, R., Decramer, M.: Integrated care prevents hospitalisations for exacerbations in COPD patients. European Respiratory Journal 28, 123–130 (2006)CrossRefGoogle Scholar
- 3.HYGIA Project, http://banzai-deim.urv.net/~riano/TIN2006-15453/ (Date of access: May 2009)
- 4.Alonso, A., Marcos, M., Alonso, J., Gelabert, G., Martínez-Salvador, B., Riaño, D., Taboada, M.: A knowledge-acquisition framework to facilitate the development and reengineering of care plans in electronic format. In: Proc. of the Tromsø Telemedicine and eHealth Conference, TTeC-2008 (June 2008)Google Scholar
- 5.Hernandez, C., Casas, A., Escarrabill, J., Alonso, J., Puig-Junoy, J., Farrero, E., Vilagut, G., Collvinent, B., Rodriguez-Roisin, R., Roca, J.: Partners of the CHRONIC project: Home hospitalisation of exacerbated chronic obstructive pulmonary disease patients. European Respiratory Journal 21, 58–67 (2003)CrossRefGoogle Scholar
- 6.Global initiative for chronic Obstructive Lung Disease: Global Strategy for the Diagnosis, Management and Prevention of Chronic Obstructive Pulmonary Disease. Executive Summary (2006), http://www.goldcopd.com/
- 7.The Task Force for the Diagnosis and Treatment of Chronic Heart Failure of the European Society of Cardiology: Guidelines for the diagnosis and treatment of chronic heart failure: executive summary (update 2005). European Heart Journal 26, 1115–1140 (2005)Google Scholar
- 8.Peleg, M., Miksch, S., Seyfang, A., Bury, J., Ciccarese, P., Fox, J., Greenes, R., Hall, R., Johnson, P., Jones, N., Kumar, A., Quaglini, S., Shortliffe, E., Stefanelli, M.: Comparing computer-interpretable guideline models: A case-study approach. Journal of the American Medical Informatics Association 10, 52–68 (2003)CrossRefGoogle Scholar
- 12.Tallis Toolset, http://www.cossac.org/tallis/index.html (Date of access: May 2009)