Abstract：
PURPOSE:The agent-oriented paradigm has emerged as a viable approach for the development of autonomic systems in the healthcare domain. This paper reviews representative works in this area in order to identify the main research lines and study their level of applicability. Moreover, from the analysis of those works and the authors' own experiences, some lines of future research are suggested. METHODS:This paper presents a review of the literature (2002-2008) of applications of agents in healthcare collected from medical databases as well as international conferences. RESULTS:15 agent-based systems were selected according to a set of criteria of work relevancy. Their internal architecture as well as communication-based coordination techniques were reviewed. A classification considering the main goal of the systems has been made. For each category, a discussion of the suitability of agent technology in resolving healthcare problems is presented. CONCLUSIONS:Agent-based systems offer added values over classical software approaches (e.g., reusability, reliability, flexibility, robustness, maintainability and adaptability). Furthermore, agent technology supports the integration of legacy systems, tackling the shortcomings of centralised systems, such as performance bottlenecks, resource limitations, and different kinds of failures. During the review, we found a huge number of contributions in this area, showing a growing interest of researchers. However, most of the analysed systems are only prototypes, they are not widely deployed in real environments and they are difficult to extend to others domains. Several aspects (security, reusability, modularity, personalisation, system maintenance) should be studied carefully in the next years in order to bring agent technology to real settings.
journal_name
Int J Med Informjournal_title
International journal of medical informaticsauthors
Isern D,Sánchez D,Moreno Adoi
10.1016/j.ijmedinf.2010.01.003subject
Has Abstractpub_date
2010-03-01 00:00:00pages
145-66issue
3eissn
1386-5056issn
1872-8243pii
S1386-5056(10)00016-Xjournal_volume
79pub_type
杂志文章,评审abstract：INTRODUCTION:The nursing care plan plays an essential role in supporting care provision in Australian aged care. The implementation of electronic systems in aged care homes was anticipated to improve documentation quality. Standardized nursing terminologies, developed to improve communication and advance the nursing pr...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2015.04.004
更新日期：2015-08-01 00:00:00
abstract：BACKGROUND:Community-based multiple screening for common cancers and chronic diseases has increasingly gained attention. However, as infrastructure and evaluation system are more diversified and complicated compared with single screening, the development of a novel health information system is paramount. METHODS:The m...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2005.07.033
更新日期：2006-05-01 00:00:00
abstract：OBJECTIVE:To develop and characterize a large, representative sample of guideline recommendations that can be used to better understand how current recommendations are written and to test the adequacy of guideline models. We refer to this sample as the Yale Guideline Recommendation Corpus (YGRC). METHOD:To develop the...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2008.11.001
更新日期：2009-05-01 00:00:00
abstract：OBJECTIVE:Children are an important portion of the population of the territories covered by Primary Health Care (PHC), with needs and characteristics that can be managed at this level of care. Therefore, it is essential that professionals working in PHC be capable of providing child care. The aim of this study was to e...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2019.06.014
更新日期：2019-09-01 00:00:00
abstract：PURPOSE:The purpose of this study is to investigate the feasibility of applying the openEHR archetype approach to modelling the data in the database of an existing proprietary biobank information management system. A biobank information management system stores the clinical/phenotypic data of the sample donor and sampl...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2010.11.002
更新日期：2011-03-01 00:00:00
abstract：BACKGROUND AND OBJECTIVE:This work aims at extracting Adverse Drug Reactions (ADRs), i.e. a harm directly caused by a drug at normal doses, from Electronic Health Records (EHRs). The lack of readily available EHRs because of confidentiality issues and their lexical variability make the ADR extraction challenging. Furth...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2019.05.009
更新日期：2019-08-01 00:00:00
abstract：BACKGROUND:With age reaction time, coordination and cognition tend to deteriorate, which may lead to gait impairments, falls and injuries. To reduce this problem in elderly and to improve health, well-being and independence, regular balance and strength exercises are recommended. However, elderly face strong barriers t...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2012.11.015
更新日期：2013-05-01 00:00:00
abstract：INTRODUCTION:The provisions of the American Recovery & Reinvestment Act increased the likelihood of more widespread health information exchange (HIE), the electronic transfer of patient-level information between organizations, by essentially mandating the use of electronic health record systems. While important, the sp...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2010.09.003
更新日期：2010-12-01 00:00:00
abstract：BACKGROUND:Due to their efficiency and safety potential, computerized physician order entry (CPOE) systems are gaining considerable attention in in-patient settings. However, recent studies have shown that these systems may undermine the efficiency and safety of the medication process by impeding nurse-physician collab...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2008.04.001
更新日期：2008-11-01 00:00:00
abstract：:To evaluate the idea of a multifunctional mobile pen computer to support information processing tasks of health care professionals we carried out a field study. On a tablet-sized mobile pen computer we set up a health professional workstation, MEDIAS/WIN, with most of the application systems that are presently used by...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/s1386-5056(98)00170-1
更新日期：1999-05-01 00:00:00
abstract：OBJECTIVE:Tele-homecare is gaining prominence as a viable care alternative, as evidenced by the increase in financial support from international governments to fund initiatives in their respective countries. The primary reason for the funding is to support efforts to reduce lags and increase capacity in access to care ...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2017.04.017
更新日期：2017-08-01 00:00:00
abstract：OBJECTIVE:To investigate factors influencing variations in clinicians' use of an online evidence retrieval system. SETTING:Public hospitals in New South Wales, Australia. METHOD:Web log analysis demonstrated considerable variation in rates of evidence use by clinicians at different hospitals. Focus groups and intervi...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/s1386-5056(02)00046-1
更新日期：2003-01-01 00:00:00
abstract：OBJECTIVE:The purpose of this study was to develop a prototype personal digital assistant-decision support system (PDA-DSS) based on a clinical practice guideline (CPG) for the management of obesity. DESIGN:The study was composed of four phases: (1) analysis of advanced practice nurse (APN) students' documentation rel...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2007.05.009
更新日期：2007-10-01 00:00:00
abstract：BACKGROUND:Lifestyle changes and the adoption of healthy behaviours are well established recommendations for the management of hypertension-a risk factor for cardiovascular and kidney disease. Mobile health interventions offer unique advantages and novel approaches to helping individuals make and maintain such behaviou...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2018.08.002
更新日期：2018-11-01 00:00:00
abstract：PURPOSE:This report describes an ongoing transition from the HELP Hospital Information System to HELP II, a replacement Health Information System built to manage clinical information captured in a variety of medical settings. The focus of the article is on the medical decision support provided by this system and studie...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/s1386-5056(02)00110-7
更新日期：2003-03-01 00:00:00
abstract：BACKGROUND:The authors have been conducting text mining analyses (extraction of useful information from text) of Medline records, using Abstracts as the main data source. For literature-based discovery, and other text mining applications as well, all records in a discipline need to be evaluated for determining prior ar...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2004.02.008
更新日期：2004-06-30 00:00:00
abstract：BACKGROUND:The electronic health record (EHR) has become a fundamental tool in health care. The ordering and inclusion of lab tests and results is one of the most frequently requested services by EHR users. We have designed, developed and implemented in Andalusia, an autonomous community in the south of Spain (8.3 mill...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2013.03.006
更新日期：2013-06-01 00:00:00
abstract：:Many studies on the physiology of the cardiovascular system revealed that nonlinear chaotic dynamics govern the generation of the heart rate signal. This is also valid for the fetal heart rate (FHR) variability, where however the variability is affected by many more factors and is significantly more complicated than f...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/s1386-5056(98)00102-6
更新日期：1999-01-01 00:00:00
abstract：OBJECTIVE:Determine how varying longitudinal historical training data can impact prediction of future clinical decisions. Estimate the "decay rate" of clinical data source relevance. MATERIALS AND METHODS:We trained a clinical order recommender system, analogous to Netflix or Amazon's "Customers who bought A also boug...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2017.03.006
更新日期：2017-06-01 00:00:00
abstract：PURPOSE:Clear and adequate communication between physicians is essential in modern medicine. Nevertheless, the medical curricula in The Netherlands lack an identifiable part in their education concerning inter-physician communication training. To train medical students in inter-physician communication skills using the ...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2007.01.007
更新日期：2007-05-01 00:00:00
abstract：OBJECTIVE:To obtain an overview of study designs and study methods used in research evaluating IT in health care, to present a list of quality criteria by which all kinds of reported evaluation studies on IT systems in health care can be assessed, and to assess the quality of reported evaluation studies on IT in health...
journal_title：International journal of medical informatics
pub_type： 杂志文章,评审
doi：10.1016/j.ijmedinf.2006.11.009
更新日期：2008-01-01 00:00:00
abstract：:To date there have been fewer than a dozen studies on the nature of, and contributory factors in, critical incidents (CI) in anaesthesia. The first of these, by Cooper and colleagues, showed that the vast majority of their CI involved human error [1]. Most recently, the on-going Australian Incident Monitoring Study (A...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/s1386-5056(97)00087-7
更新日期：1997-11-01 00:00:00
abstract：:The SHARE(1) project (http://www.eu-share.org) was asked to identify the key developments needed to achieve wide adoption and deployment of HealthGrids throughout Europe. The project was asked to organise these as milestones on a road map, so that all technical advances, social actions, economic investments and ethica...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2008.10.003
更新日期：2009-04-01 00:00:00
abstract：BACKGROUND:There are very few studies reporting the impact of providing intravenous (IV) preparation information on quality use of antimicrobials, particularly regarding their reconstitution and dilution. Therefore, to improve these processes in IV antimicrobial administration, an IV preparation information system (IPI...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2016.07.005
更新日期：2016-10-01 00:00:00
abstract：INTRODUCTION:Appropriate knowledge, correct information, and relevant data are vital in medical diagnosis and treatment systems. Knowledge Management (KM) through its tools/techniques provides a pertinent framework for decision-making in healthcare systems. The objective of this study was to identify and prioritize the...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2017.10.012
更新日期：2017-12-01 00:00:00
abstract：:In a discussion starting from Haux et al. it is asked, if a safe and controllable technology to implement the patient centered health record is available and which measures must be taken to insure the safety of the record-these include legislation, education, technical measures etc. In addition to the goals set forwar...
journal_title：International journal of medical informatics
pub_type： 评论,杂志文章
doi：10.1016/s1386-5056(02)00038-2
更新日期：2002-11-20 00:00:00
abstract：BACKGROUND:About ten years ago, an age-related digital divide was identified, where 'the elderly' denoted a group of people at risk of losing the benefits of a digital society. The aims of this work are to find a relationship between self-assessed health and internet use by older people in European countries and to asc...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2020.104240
更新日期：2020-09-01 00:00:00
abstract：:Exposure to technologies is becoming more prevalent in healthcare technologies. Few strategies have been developed that work reliably to successfully implement information technologies. Information technology enables, but does not guarantee organizational change. A theoretical model has been developed identifying seve...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/s1386-5056(99)00037-4
更新日期：1999-12-01 00:00:00
abstract：:Electronic cigarettes (e-cigarettes) usage has surged substantially across the globe, particularly among adolescents and young adults. The ever-increasing prevalence of social media makes it highly convenient to access and engage with content on numerous substances, including e-cigarettes. A comprehensive dataset of 5...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2020.104223
更新日期：2020-09-01 00:00:00
abstract：OBJECTIVE:To present a smoking cessation website and a reflection on the use of the Internet as a smoking cessation tool. METHODS:A literature review and an Internet survey in 1506 current and former smokers. RESULTS:The Internet may be the only form of smoking cessation support available to many smokers. There is a ...
journal_title：International journal of medical informatics
pub_type： 杂志文章
doi：10.1016/j.ijmedinf.2005.06.014
更新日期：2006-01-01 00:00:00
