A vision for enhancing multimorbid care using clinical decision support systems

Audrey Grace; Carolanne Mahony; John O'donoghue; Tony Heffernan; David Molony; Thomas Carroll

doi:10.3233/978-1-61499-289-9-1117

A vision for enhancing multimorbid care using clinical decision support systems

Audrey Grace
, Carolanne Mahony
, John O'donoghue
, Tony Heffernan
, David Molony
, Thomas Carroll

Cork University Business School

Mallow, Co.

Research output: Chapter in Book/Report/Conference proceedings › Conference proceeding › peer-review

Abstract

There has been a substantial increase in Multimorbidity, worldwide. Extensive empirical research has found that General Practitioners (GPs) often feel overwhelmed when dealing with such patients [1]. While clinical decision support systems (CDSS) are effective at reducing clinical decision errors and improving healthcare processes across diverse settings [2], the use of CDSS within multimorbidity care is under investigated. This study employs a multi-method approach to examine how well CDSS currently support Irish GPs when dealing with multimorbid patients. The findings uncover a number of inadequacies, including: a lack of provision of integrated medical guidelines for multiple chronic diseases within current CDSS; and an inability to centralise the patient rather than the disease using such systems. This research underlines the need for further research into CDSS for multimorbidity and highlights key issues that must be addressed in order to improve how CDSS support the care of multimorbid patients.

Original language	English
Title of host publication	MEDINFO 2013 - Proceedings of the 14th World Congress on Medical and Health Informatics
Publisher	IOS Press
Pages	1117
Number of pages	1
Edition	1-2
ISBN (Print)	9781614992882
DOIs	https://doi.org/10.3233/978-1-61499-289-9-1117
Publication status	Published - 2013
Event	14th World Congress on Medical and Health Informatics, MEDINFO 2013 - Copenhagen, Denmark Duration: 20 Aug 2013 → 23 Aug 2013

Publication series

Name	Studies in Health Technology and Informatics
Number	1-2
Volume	192
ISSN (Print)	0926-9630
ISSN (Electronic)	1879-8365

Conference

Conference	14th World Congress on Medical and Health Informatics, MEDINFO 2013
Country/Territory	Denmark
City	Copenhagen
Period	20/08/13 → 23/08/13

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

UCC Futures

Future of Health

Keywords

Chronic Disease
Clinical Decision Support Systems
Computer-Assisted Decision Making
Multimorbidity

Access to Document

10.3233/978-1-61499-289-9-1117

Cite this

Grace, A., Mahony, C., O'donoghue, J., Heffernan, T., Molony, D., & Carroll, T. (2013). A vision for enhancing multimorbid care using clinical decision support systems. In MEDINFO 2013 - Proceedings of the 14th World Congress on Medical and Health Informatics (1-2 ed., pp. 1117). (Studies in Health Technology and Informatics; Vol. 192, No. 1-2). IOS Press. https://doi.org/10.3233/978-1-61499-289-9-1117

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abstract = "There has been a substantial increase in Multimorbidity, worldwide. Extensive empirical research has found that General Practitioners (GPs) often feel overwhelmed when dealing with such patients [1]. While clinical decision support systems (CDSS) are effective at reducing clinical decision errors and improving healthcare processes across diverse settings [2], the use of CDSS within multimorbidity care is under investigated. This study employs a multi-method approach to examine how well CDSS currently support Irish GPs when dealing with multimorbid patients. The findings uncover a number of inadequacies, including: a lack of provision of integrated medical guidelines for multiple chronic diseases within current CDSS; and an inability to centralise the patient rather than the disease using such systems. This research underlines the need for further research into CDSS for multimorbidity and highlights key issues that must be addressed in order to improve how CDSS support the care of multimorbid patients.",

keywords = "Chronic Disease, Clinical Decision Support Systems, Computer-Assisted Decision Making, Multimorbidity",

author = "Audrey Grace and Carolanne Mahony and John O'donoghue and Tony Heffernan and David Molony and Thomas Carroll",

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Grace, A , Mahony, C, O'donoghue, J, Heffernan, T, Molony, D & Carroll, T 2013, A vision for enhancing multimorbid care using clinical decision support systems. in MEDINFO 2013 - Proceedings of the 14th World Congress on Medical and Health Informatics. 1-2 edn, Studies in Health Technology and Informatics, no. 1-2, vol. 192, IOS Press, pp. 1117, 14th World Congress on Medical and Health Informatics, MEDINFO 2013, Copenhagen, Denmark, 20/08/13. https://doi.org/10.3233/978-1-61499-289-9-1117

A vision for enhancing multimorbid care using clinical decision support systems. / Grace, Audrey ; Mahony, Carolanne; O'donoghue, John et al.
MEDINFO 2013 - Proceedings of the 14th World Congress on Medical and Health Informatics. 1-2. ed. IOS Press, 2013. p. 1117 (Studies in Health Technology and Informatics; Vol. 192, No. 1-2).

Research output: Chapter in Book/Report/Conference proceedings › Conference proceeding › peer-review

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AU - Mahony, Carolanne

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AU - Heffernan, Tony

AU - Molony, David

AU - Carroll, Thomas

PY - 2013

Y1 - 2013

N2 - There has been a substantial increase in Multimorbidity, worldwide. Extensive empirical research has found that General Practitioners (GPs) often feel overwhelmed when dealing with such patients [1]. While clinical decision support systems (CDSS) are effective at reducing clinical decision errors and improving healthcare processes across diverse settings [2], the use of CDSS within multimorbidity care is under investigated. This study employs a multi-method approach to examine how well CDSS currently support Irish GPs when dealing with multimorbid patients. The findings uncover a number of inadequacies, including: a lack of provision of integrated medical guidelines for multiple chronic diseases within current CDSS; and an inability to centralise the patient rather than the disease using such systems. This research underlines the need for further research into CDSS for multimorbidity and highlights key issues that must be addressed in order to improve how CDSS support the care of multimorbid patients.

AB - There has been a substantial increase in Multimorbidity, worldwide. Extensive empirical research has found that General Practitioners (GPs) often feel overwhelmed when dealing with such patients [1]. While clinical decision support systems (CDSS) are effective at reducing clinical decision errors and improving healthcare processes across diverse settings [2], the use of CDSS within multimorbidity care is under investigated. This study employs a multi-method approach to examine how well CDSS currently support Irish GPs when dealing with multimorbid patients. The findings uncover a number of inadequacies, including: a lack of provision of integrated medical guidelines for multiple chronic diseases within current CDSS; and an inability to centralise the patient rather than the disease using such systems. This research underlines the need for further research into CDSS for multimorbidity and highlights key issues that must be addressed in order to improve how CDSS support the care of multimorbid patients.

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ER -

A vision for enhancing multimorbid care using clinical decision support systems

Abstract

Publication series

Conference

UN SDGs

UCC Futures

Keywords

Access to Document

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Computerized Decision Support Systems for Multimorbidity Care: An Urgent Call for Research and Development

Cite this