Title | ||
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Design of a Web-based Clinical Decision Support System for Guiding Patients with Low Back Pain to the Best Next Step in Primary Healthcare. |
Abstract | ||
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Low back pain (LBP) is the most common cause for activity limitation and has a tremendous socioeconomic impact in Western society. In primary care, LBP is commonly treated by general practitioners (GPs) and physiotherapists. In the Netherlands, patients can opt to see a physiotherapist without referral from their GP (so called âself-referralâ). Although self-referral has improved the choice of care for patients, it also requires that a patient knows exactly how to select the best next step in care for his or her situation, which is not always evident. This paper describes the design of a web-based clinical decision support system (CDSS) that guides patients with LBP in making suitable choices on self-referral. We studied literature and guidelines on LBP and conducted semi-structured interviews with 3 general practitioners and 5 physiotherapists on the classification of LBP with respect to the best next step in care: visit a GP, visit a physiotherapist or perform self-care. The interview results were validated by means of an online survey, which resulted in a select group of key classification factors. Based on the results, we developed an ontology and a decision tree that models the decision making process of the CDSS. |
Year | DOI | Venue |
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2016 | 10.5220/0005662102290239 | HEALTHINF |
Field | DocType | Citations |
Decision tree,Self Referral,Artificial intelligence,Clinical decision support system,Web application,Medical emergency,Medicine,Decision-making,Referral,Nursing,Triage,Machine learning,Low back pain | Conference | 3 |
PageRank | References | Authors |
0.57 | 1 | 4 |
Name | Order | Citations | PageRank |
---|---|---|---|
Wendy Oude Nijeweme d'Hollosy | 1 | 6 | 1.69 |
Lex van Velsen | 2 | 139 | 15.58 |
Remko Soer | 3 | 6 | 1.01 |
Hermie Hermens | 4 | 160 | 21.87 |