Abstract
The problem of a decision support of a laboratory service patients originates from the fact that in Russia most patients address laboratory services directly without being referred by a doctor. This leads to the problem of interpretation of test results by the patients without sufficient medical background. So, we have a situation when there is no doctor who can professionally interpret the results. This problem can be solved by a laboratory service if it can provide not only the results of the tests but also their interpretations. This task can be delegated to a decision support system, which can automatically generate interpretation reports and send them to the patients. We have implemented and evaluated such a system in the Helix laboratory service in Saint-Petersburg, Russia. Now, it generates about 3500 reports a day. The implementation of the system allowed increasing the number of patients who refer to a doctor after laboratory tests by 14%. A qualitative study with 100 patients demonstrated a high acceptance of the system. The majority (82%) of the patients reported that they trust the system and follow its advice to visit a doctor if necessary.
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References
Ahmadian, L., van Engen-Verheul, M., Bakhshi-Raiez, F., Peek, N., Cornet, R., de Keizer, N.F.: The role of standardized data and terminological systems in computerized clinical decision support systems: literature review and survey. Int. J. Med. Inform. 80, 81–93 (2011)
Berry, K.J., Johnston, J.E., Mielke Jr., P.W.: Weighted kappa for multiple raters. Percept. Mot. Skills 107, 837–848 (2008)
Boegl, K., Adlassnig, K.P., Hayashi, Y., Rothenfluh, T.E., Leitich, H.: Knowledge acquisition in the fuzzy knowledge representation framework of a medical consultation system. Artif. Intell. Med. 30, 1–26 (2004)
Callen, J.L., Westbrook, J.I., Georgiou, A., Li, J.: Failure to follow-up test results for ambulatory patients: a systematic review. J. Gen. Intern. Med. 27, 1334–1348 (2012)
Casalino, L.P., Dunham, D., Chin, M.H., Bielang, R., Kistner, E.O., Karrison, T.G., Ong, M.K., Sarkar, U., McLaughlin, M.A., Meltzer, D.O.: Frequency of failure to inform patients of clinically significant outpatient test results. Arch. Intern. Med. 169, 1123–1129 (2009)
Davis, F.D., Bagozzi, R.P., Warshaw, P.R.: User acceptance of computer technology: a comparison of two theoretical models. Manage. Sci. 35, 982–1003 (1989)
Kawada, T.: Sample size in receiver-operating characteristic (ROC) curve analysis. Circ. J. 76, 768 (2012). Author reply 769
Kopanitsa, G.: Standard based multiclient medical data visualization. Stud. Health Technol. Inform. 180, 199–203 (2012)
Kopanitsa, G.: Evaluation study for a multi-user oriented medical data visualization method. Stud. Health Technol. Inform. 200, 158–160 (2014)
Kopanitsa, G.: Evaluation study for an ISO 13606 archetype based medical data visualization method. J. Med. Syst. 39, 82 (2015)
Kopanitsa, G.: Development of a web portal using open source information visualization libraries. Stud. Health Technol. Inform. 221, 123 (2016)
Kopanitsa, G., Hildebrand, C., Stausberg, J., Englmeier, K.H.: Visualization of medical data based on EHR standards. Methods Inf. Med. 52, 43–50 (2013)
Kopanitsa, G., Karpov, A., Lakovenko, G., Laskovenko, A., Yampolsky, V.: Exploring barriers and opportunities for adoption of web portals in Russia. Example of a Tuberculosis portal. Stud. Health Technol. Inform. 224, 170–174 (2016)
Kopanitsa, G., Tsvetkova, Z., Veseli, H.: Analysis of metrics for the usability evaluation of EHR management systems. Stud. Health Technol. Inform. 180, 358–362 (2012)
Kopanitsa, G., Tsvetkova, Z., Veseli, H.: Analysis of metrics for the usability evaluation of electronic health record systems. Stud. Health Technol. Inform. 174, 129–133 (2012)
Kopanitsa, G., Veseli, H., Yampolsky, V.: Development, implementation and evaluation of an information model for archetype based user responsive medical data visualization. J. Biomed. Inform. 55, 196–205 (2015)
Kopanitsa, G., Yampolsky, V.: Exploring barriers and opportunities for adoption of web portals in Russia. Stud. Health Technol. Inform. 221, 87–91 (2016)
Michalski, R.S.: Pattern recognition as rule-guided inductive inference. IEEE Trans. Pattern Anal. Mach. Intell. 2, 349–361 (1980)
Murff, H.J., Gandhi, T.K., Karson, A.K., Mort, E.A., Poon, E.G., Wang, S.J., Fairchild, D.G., Bates, D.W.: Primary care physician attitudes concerning follow-up of abnormal test results and ambulatory decision support systems. Int. J. Med. Inform. 71, 137–149 (2003)
Poon, E.G., Gandhi, T.K., Sequist, T.D., Murff, H.J., Karson, A.S., Bates, D.W.: “I wish I had seen this test result earlier!”: Dissatisfaction with test result management systems in primary care. Arch. Intern. Med. 164, 2223–2228 (2004)
Pyshniak, V., Fotina, I., Zverava, A., Siamkouski, S., Zayats, E., Kopanitsa, G., Okuntsau, D.: Efficiency of biological versus physical optimization for single-arc VMAT for prostate and head and neck cases. J. Appl. Clin. Med. Phys. 15, 4514 (2014)
Quanjer, P.H., Stanojevic, S., Thompson, B.R.: Spirometric thresholds and biased interpretation of test results. Thorax 69, 1146 (2014)
Ross, J.S.: Ensuring correct interpretation of diagnostic test results. JAMA Intern. Med. 174, 993 (2014)
Semenov, I., Kopanitsa, G.: Implementation of a decision support system for interpretation of laboratory tests for patients. Stud. Health Technol. Inform. 221, 79–83 (2016)
Semenov, I., Kopanitsa, G., Karpov, A., Lakovenko, G., Laskovenko, A.: Implementation of a clinical decision support system for interpretation of laboratory tests for patients. Stud. Health Technol. Inform. 224, 184–188 (2016)
Sung, S., Forman-Hoffman, V., Wilson, M.C., Cram, P.: Direct reporting of laboratory test results to patients by mail to enhance patient safety. J. Gen. Intern. Med. 21, 1075–1078 (2006)
Trotz-Williams, L.A., Mercer, N.J., Paphitis, K., Walters, J.M., Wallace, D., Kristjanson, E., Gubbay, J., Mazzulli, T.: Challenges in interpretation of diagnostic test results in a mumps outbreak in a highly vaccinated population. Clin. Vaccine Immunol. 24 (2017)
Wilson, E.V., Lankton, N.K.: Modeling patients’ acceptance of provider-delivered e-health. J. Am. Med. Inform. Assoc. 11, 241–248 (2004)
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Kopanitsa, G., Kopanitsa, Z. (2017). Implementation and Evaluation of a Decision Support Systems for the Patients of a Laboratory Service. In: Damaševičius, R., Mikašytė, V. (eds) Information and Software Technologies. ICIST 2017. Communications in Computer and Information Science, vol 756. Springer, Cham. https://doi.org/10.1007/978-3-319-67642-5_10
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