Accessing Medical Decision Models via Handheld Computers

通过手持计算机访问医疗决策模型

• 批准号: 6550185
• 负责人: Harry Jerome Smolen
• 金额: $ 10万
• 依托单位: MEDICAL DECISION MODELING, INC.
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-30 至 2003-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6550185
• 关键词: Internet; blood glucose; clinical research; computer assisted medical decision making; computer system design /evaluation; cost effectiveness; health care model; human subject; information retrieval; interactive multimedia; noninsulin dependent diabetes mellitus; patient care management; portable biomedical equipment

DESCRIPTION (provided by applicant): The broad, long term objective of this project is to develop a Java-based software technology that will allow a wide range of Internet-enabled computers, including computationally-limited handheld computers, to access an Internet-based library of medical decision models. The specific aims are to: (1) develop and evaluate an updated PC-based interactive Type 2 diabetes management model; (2) port execution of this interactive model from a PC system to a Web server; and (3) develop wireless Internet technologies to allow handheld computers to access the diabetes model. MDM's diabetes model will be based on the research, interpretation, compilation, and incorporation of data from Type 2 diabetes models and clinical trials published in peer-reviewed medical journals. Handheld-access to MDM's models will allow clinicians within their normal workflow to provide individualized outcomes information to patients at the point of care. In general, this information will quantitatively compare patient-specific benefits and costs for competing courses of treatment, screening, prevention, and/or diagnosis for particular medical conditions. In Phase I, MDM will develop a product to reduce overall care costs for Type 2 diabetes patients. This will be accomplished through patients' increased compliance with blood glucose level management strategies driven by a readily- accessible, patient-tailored interactive information source.

描述（由申请人提供）：该项目的广泛、长期目标是开发一种基于 Java 的软件技术，该技术将允许各种具有 Internet 功能的计算机（包括计算能力有限的手持计算机）访问基于 Internet 的计算机。医疗决策模型库。具体目标是： (1) 开发和评估更新的基于 PC 的交互式 2 型糖尿病管理模型； (2)将该交互模型从PC系统移植到Web服务器； (3)开发无线互联网技术，使掌上电脑能够访问糖尿病模型。 MDM 的糖尿病模型将基于对 2 型糖尿病模型和同行评审医学期刊上发表的临床试验数据的研究、解释、汇编和整合。手持式访问 MDM 模型将使临床医生能够在正常工作流程中在护理点向患者提供个性化的结果信息。一般来说，该信息将定量比较针对特定医疗状况的竞争性治疗、筛查、预防和/或诊断疗程的特定患者的益处和成本。在第一阶段，MDM 将开发一种产品来降低 2 型糖尿病患者的总体护理成本。这将通过患者提高对血糖水平管理策略的依从性来实现，而这些策略是由易于访问的、为患者量身定制的交互式信息源驱动的。

项目成果

Development, validation, and application of a microsimulation model to predict stroke and mortality in medically managed asymptomatic patients with significant carotid artery stenosis.

开发、验证和应用微观模拟模型来预测患有严重颈动脉狭窄的无症状患者的中风和死亡率。

• DOI: 10.1111/j.1524-4733.2007.00204.x
• 发表时间: 2007
• 期刊: Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research
• 作者: Smolen,HarryJ;Cohen,DavidJ;Samsa,GregoryP;Toole,JamesF;Klein,RobertW;Furiak,NicolasM;Lorell,BeverlyH
• 通讯作者: Lorell,BeverlyH