A decision support system for diabetes care: ethical aspects.

Abstract:

:In this paper the design and implementation of a decision support system for diabetes care is examined from an ethical perspective. It is noted that the system creates potential for enhancing the realization of the principle of autonomy through improved information to patients and participation by patients. However, there is also potential for using the system in a way that is contrary to good health care. It may provide patients with information they are unable to interpret and handle, and it may be used by healthcare authorities for controlling their personnel in ways contrary to good quality working conditions. In order for a decision support system to function as a well-integrated element in ethically based health care, different ethical aspects have to be taken into account during the design of the system. The ethical aspects also constitute one perspective of a systematic re-evaluation and re-design process.

journal_name

Methods Inf Med

authors

Collste G,Shahsavar N,Gill H

keywords:

subject

Has Abstract

pub_date

1999-12-01 00:00:00

pages

313-6

issue

4-5

eissn

0026-1270

issn

2511-705X

pii

99040313

journal_volume

38

pub_type

杂志文章
  • Non-invasive ultrasonic urination sensor for ambulatory patient support.

    abstract::It is estimated that, in Japan, several million people suffer from urinary incontinence caused by, e.g., cerebrovascular disease, abdominal operations, spinal-cord damage, etc. Urinary incontinence is said to be a 'hidden' disease. When no adequate treatment is given, a serious situation may arise for both patients an...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:

    authors: Kodama H,Hieda I,Kuchinomachi Y,Takeichi H,Matsumoto H

    更新日期:1994-03-01 00:00:00

  • Usability Evaluation of a Distributed User Interface Application for Visuomotor Organization Assessment.

    abstract:BACKGROUND:This article describes the development and evaluation of a distributed user interface (DUI) application to assess visuomotor organization ability. This application enables therapists to evaluate the acquired brain injury (ABI) on patients, and patients, to perform the assessment on a touch screen while thera...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:10.1055/s-0040-1713086

    authors: Cuerda C,Romero-Ayuso D,Gallud JA,Morales C,Tesoriero R,Triviño-Juarez JM,Fardoun HM

    更新日期:2020-12-01 00:00:00

  • Developmental toxicity risk assessment: a rough sets approach.

    abstract::A rough-sets approach was applied to a data set consisting of animal study results and other compound characteristics to generate local and global (certain/possible) sets of rules for prediction of developmental toxicity in human subjects. A modified version of the rough-sets approach is proposed to allow the construc...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:

    authors: Hashemi RR,Jelovsek FR,Razzaghi M

    更新日期:1993-02-01 00:00:00

  • An observation tool for studying patient-oriented workflow in hospital emergency departments.

    abstract:BACKGROUND:Studying workflow is a critical step in designing, implementing and evaluating informatics interventions in complex sociotechnical settings, such as hospital emergency departments (EDs). Known approaches to studying workflow in clinical settings attend to the activities of individual clinicians, thus being i...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:10.3414/ME12-01-0079

    authors: Ozkaynak M,Brennan P

    更新日期:2013-01-01 00:00:00

  • Towards semantic interoperability for electronic health records.

    abstract:OBJECTIVES:In the field of open electronic health records (EHRs), openEHR as an archetype-based approach is being increasingly recognised. It is the objective of this paper to shortly describe this approach, and to analyse how openEHR archetypes impact on health professionals and semantic interoperability. METHODS:Ana...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:10.1160/ME5001

    authors: Garde S,Knaup P,Hovenga E,Heard S

    更新日期:2007-01-01 00:00:00

  • Confounding Factors in ECG-based Detection of Sleep-disordered Breathing.

    abstract:OBJECTIVES:To assess the relevance of various potential confounding factors (comorbidities, obesity, body position, ECG lead, respiratory event type and sleep stage) on the detectability of sleep-related breathing disorders from the ECG. METHODS:A set of 140 simultaneous recordings of polysomnograms and 8-channel Holt...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:10.3414/ME17-02-0005

    authors: Maier C,Dickhaus H

    更新日期:2018-05-01 00:00:00

  • PDA usage by Japanese resident physicians is low: a cross-sectional survey.

    abstract:OBJECTIVES:Personal digital assistants (PDAs) are in widespread use by resident physicians in many countries, reaching as high as 95% in some reports. Uses are varied and include clinical decision support and support of evidence-based practice. Utilization by resident doctors in Japan has not been characterized. This s...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:10.3414/ME0607

    authors: Jacobs JL,Takahashi O,Ohde S,Tokuda Y,Omata F,Fukui T

    更新日期:2009-01-01 00:00:00

  • To Explore Intracerebral Hematoma with a Hybrid Approach and Combination of Discriminative Factors.

    abstract:OBJECTIVES:To find discriminative combination of influential factors of Intracerebral hematoma (ICH) to cluster ICH patients with similar features to explore relationship among influential factors and 30-day mortality of ICH. METHODS:The data of ICH patients are collected. We use a decision tree to find discriminative...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:10.3414/ME15-01-0137

    authors: Chiu HC,Chiu DY,Lee YH,Wang CC,Wang CS,Lee CC,Ying MH,Wu MY,Chang WC

    更新日期:2016-10-17 00:00:00

  • relationship between the binary kernels of visually evoked potentials and the visual responses on the magnocellular and parvocellular pathways.

    abstract:OBJECTIVES:To investigate the nonlinear characteristics of visual evoked potentials (VEPs), and their correlation with the visual responses on parvocellular and magnocellular pathways. First and second-order kernels of the VEPs elicited by several checkerboard patterns were estimated, and their relations to the visual ...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:

    authors: Momose K

    更新日期:2007-01-01 00:00:00

  • Patient privacy protection using anonymous access control techniques.

    abstract:OBJECTIVE:The objective of this study is to develop a solution to preserve security and privacy in a healthcare environment where health-sensitive information will be accessed by many parties and stored in various distributed databases. The solution should maintain anonymous medical records and it should be able to lin...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:10.3414/me9116

    authors: Weerasinghe D,Rajarajan M,Elmufti K,Rakocevic V

    更新日期:2008-01-01 00:00:00

  • Improving model robustness with bootstrapping -- application to optimal discriminant analysis for ordinal responses (ODAO).

    abstract:OBJECTIVE:Recent results published by Coste et al. in discriminant analysis with ordinal responses showed the superiority of optimal discriminating analysis for ordinal responses (ODAO) both in terms of classification and simplicity of implementation compared to classic methods (Fisher's discrimination, logistic regres...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:

    authors: Le Teuff G,Quantin C,Venot A,Walter E,Coste J

    更新日期:2005-01-01 00:00:00

  • Drop the Likelihood Ratio. A Novel Non-electronic Tool for Interpreting Diagnostic Test Results.

    abstract:OBJECTIVE:To present a geometric ruler to determine predictive values of binary diagnostic test results from prevalence, sensitivity and specificity without calculation. METHODS:On logarithmic scale the relationships between pre-/post-test odds and the likelihood ratio as well as sensitivity, specificity and the likel...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:10.3414/ME14-01-0091

    authors: Herich L,Lehmacher W,Hellmich M

    更新日期:2015-01-01 00:00:00

  • Evolution of artificial neural network architecture: prediction of depression after mania.

    abstract::Artificial neural networks (ANNs) are compared to standard statistical methods for outcome prediction in biomedical problems. A general method for using genetic algorithms to "evolve" ANN architecture (EANN) is presented. Accuracy of logistic regression, a fully interconnected ANN, and an EANN for predicting depressio...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:

    authors: Jefferson MF,Pendleton N,Lucas CP,Lucas SB,Horan MA

    更新日期:1998-09-01 00:00:00

  • Graphical non-linear representation of multi-dimensional laboratory measurements in their clinical context.

    abstract::A polygon-based graphical representation of laboratory test results using nonlinear scaling is described. It is argued that the nonlinearity of the scale and the use of colors in the representation facilitates interpretation of the test result in its relationship to the standard reference range and critical clinical d...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:

    authors: Hoeke JO,Gelsema ES,Wulkan RW,Leijnse B

    更新日期:1991-04-01 00:00:00

  • Heart rate response to exercise in normal women.

    abstract::Heart rate is known to increase under the influence of increased sympathetic stimulation rates during exertion or stress. Few data are available regarding the rate response to exercise near the fatigue limit, for normal women. The effects on heart rate were studied of fatigue limiting exercise in 87 asymptomatic, norm...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:

    authors: Bowyer AF,Thomas RA,Bowyer SR

    更新日期:1993-04-01 00:00:00

  • BRAINDEX: an interactive, knowledge-based system supporting brain death diagnosis.

    abstract::BRAINDEX (Brain-Death Expert System) is an interactive, knowledge-based expert system offering support to physicians in decision making concerning brain death. The physician is given the possibility of communicating in almost natural language and, therefore, in terms with which he is familiar. This updated version of ...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:

    authors: Rom G,Schwarz G,Grims R,Rumpl E,Pfurtscheller G,Haase V

    更新日期:1990-07-01 00:00:00

  • Slow adaptation of ventricular repolarization as a cause of arrhythmia?

    abstract:INTRODUCTION:This article is part of the Focus Theme of Methods of Information in Medicine on "Biosignal Interpretation: Advanced Methods for Studying Cardiovascular and Respiratory Systems". BACKGROUND:Adaptation of the QT-interval to changes in heart rate reflects on the body-surface electrocardiogram the adaptation...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:10.3414/ME13-02-0039

    authors: Bueno-Orovio A,Hanson BM,Gill JS,Taggart P,Rodriguez B

    更新日期:2014-01-01 00:00:00

  • Computational model of DIC microscopy for reconstructing 3-D specimens.

    abstract::Differential Interference Contrast (DIC) microscopy is a powerful visualization tool used to study live biological cells. Its use, however, has been limited to qualitative observations. The inherent non-linear relation between the object properties and the image intensity makes quantitative analysis difficult. As a fi...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:

    authors: Kagalwala F,Lanni F,Kanade T

    更新日期:2000-06-01 00:00:00

  • Simulation of range imaging-based estimation of respiratory lung motion. Influence of noise, signal dimensionality and sampling patterns.

    abstract:OBJECTIVES:A major problem associated with the irradiation of thoracic and abdominal tumors is respiratory motion. In clinical practice, motion compensation approaches are frequently steered by low-dimensional breathing signals (e.g., spirometry) and patient-specific correspondence models, which are used to estimate th...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:10.3414/ME13-01-0137

    authors: Wilms M,Werner R,Blendowski M,Ortmüller J,Handels H

    更新日期:2014-01-01 00:00:00

  • Health care procedures.

    abstract:BACKGROUND:ICD is used for coding medical diagnoses across the world, but there is no globally accepted coding system for health care procedures. The need for the introduction of a common international medical procedure classification has been addressed by the Australian NCCH, which proposed the International Classific...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:10.3414/ME09-01-0007

    authors: Hanser S,Zaiss A,Schulz S

    更新日期:2009-01-01 00:00:00

  • Paradigms for recording cognitive brain electrical activity.

    abstract::Human event-related potentials reflect cognitive processing, and are normally elicited by external events, such as acoustic sounds or visual stimuli. As such they provide an opportunity to study normal and abnormal brain function noninvasively, at sub-second resolution. Advances in multimedia technology permit special...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:

    authors: McCullagh PJ,McAllister HG,Howard R,Neo LH

    更新日期:2001-07-01 00:00:00

  • Utilizing data systems to develop and monitor occupational health programs in a large Canadian hospital.

    abstract::With rapid change in health care requiring greater emphasis on productivity and quality management, occupational health hazards in hospitals have been receiving increasing recognition, now not only focusing on controlling infection, but also on chemical, physical, mechanical as well as psychosocial hazards. Reducing c...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:

    authors: Yassi A

    更新日期:1998-06-01 00:00:00

  • New premises and new tools for medical care and medical education.

    abstract::Medical care and medical education can be supported more than in the past by using new tools and new premises for the effective linkage between bodies of knowledge and the use of that knowledge. The medical record can be converted from a source-oriented record to a problem-oriented record, enabling to trace not only w...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:

    authors: Weed LL

    更新日期:1989-11-01 00:00:00

  • MS2/Cardio: towards a multi-service medical software for cardiology.

    abstract::Many clinics are interested to use software packages in daily practice, but lack of integration of such packages seriously limits their scope. In practice this often entails switching between programs and interrupting the run of an individual program. A multi-task approach would not solve this problem as it would not ...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:

    authors: Pinciroli F,Combi C,Pozzi G,Rossi R

    更新日期:1992-02-01 00:00:00

  • Expert Knowledge for Modeling Functional Health from Sensor Data.

    abstract:BACKGROUND:ICT based solutions are increasingly introduced for active and healthy ageing. In this context continuous monitoring of older adults with domestic sensor systems has been suggested to provide important information about their functional health. However, there is not yet a solid model for the interpretation o...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:10.3414/ME15-01-0072

    authors: Robben SM,Pol MC,Buurman BM,Kröse BJ

    更新日期:2016-12-07 00:00:00

  • Computerized provider order entry system--does it support the inter-professional medication process? Lessons from a Dutch academic hospital.

    abstract:OBJECTIVES:To assess the effects of a CPOE system on inter-professional workflow in the medication process. METHODS:Twenty-three semi-structured interviews with physicians, nurses, and pharmacists were conducted in a Dutch academic hospital. In addition, the handwritten and system-generated documents used daily were c...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:10.3414/ME0631

    authors: Niazkhani Z,Pirnejad H,van der Sijs H,de Bont A,Aarts J

    更新日期:2010-01-01 00:00:00

  • Development of national competency-based learning objectives "Medical Informatics" for undergraduate medical education.

    abstract:OBJECTIVES:The aim of this project is to develop a catalogue of competency-based learning objectives "Medical Informatics" for undergraduate medical education (abbreviated NKLM-MI in German). METHODS:The development followed a multi-level annotation and consensus process. For each learning objective a reason why a phy...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:10.3414/ME13-04-0001

    authors: Röhrig R,Stausberg J,Dugas M,GMDS project group „Medical Informatics Education in Medicine”.

    更新日期:2013-01-01 00:00:00

  • Data processing at the anesthesia workstation: from data entry to data presentation.

    abstract::Main requirements for an Anesthesia Information Management System (AIMS) are the supply of additional information for the anesthesiologist at his workstation and complete documentation of the anesthetic procedure. With the implementation of an AIMS (NarkoData) and effective user support, the quality of documentation a...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:

    authors: Benson M,Junger A,Quinzio L,Michel A,Sciuk G,Fuchs C,Marquardt K,Hempelmann G

    更新日期:2000-12-01 00:00:00

  • Applicability of Lewin s change management model in a hospital setting.

    abstract:OBJECTIVES:Today's socio-economic developments in the healthcare area require continued optimization of processes and cost structures at hospitals, often associated with process changes for different occupational groups in the hospital. Formal methods for managing change have been established in other industries. The g...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:10.3414/ME9235

    authors: Suc J,Prokosch HU,Ganslandt T

    更新日期:2009-01-01 00:00:00

  • Accurate variance estimation for prevalence ratios.

    abstract:OBJECTIVES:The log-binomial model is recommended for calculating the prevalence ratio in cross-sectional studies with binary outcomes. However, convergence problems may occur as this model is numerically unstable. If this happens, the Poisson model should be used, but the Poisson model variance needs to be adjusted. He...

    journal_title:Methods of information in medicine

    pub_type: 杂志文章

    doi:10.1160/me0416

    authors: Wolkewitz M,Bruckner T,Schumacher M

    更新日期:2007-01-01 00:00:00