Front-Line Physicians' Satisfaction with Information Systems in Hospitals

Day-to-day operations management in hospital units is difficult due to continuously varying situations, several actors involved and a vast number of information systems in use. The aim of this study was to describe front-line physicians' satisfaction with existing information systems needed to support the day-to-day operations management in hospitals. A cross-sectional survey was used and data chosen with stratified random sampling were collected in nine hospitals. Data were analyzed with descriptive and inferential statistical methods. The response rate was 65 % (n = 111). The physicians reported that information systems support their decision making to some extent, but they do not improve access to information nor are they tailored for physicians. The respondents also reported that they need to use several information systems to support decision making and that they would prefer one information system to access important information. Improved information access would better support physicians' decision making and has the potential to improve the quality of decisions and speed up the decision making process.Peer reviewe

Computerized Clinical Decision Support Systems for decision support in patients with breast, lung, colorectal or prostate cancer

Sistemes electrònics; Càncer; Presa de decisionsSistemas electrónicos; Cáncer; Toma de decisionesElectronic systems; Cancer; Decision makingEl objetivo general de este informe de ETS es evaluar la seguridad, eficacia, efectividad y eficiencia de los sistemas electrónicos de apoyo a las decisiones clínicas (computerized Clinical Decision Support Systems o cCDSS), específicamente de los considerados de nivel medio (p. ej. calculadoras pronósticas o GPC automatizadas) y de nivel alto (aquellos que utilizan la IA para formular recomendaciones específicas para un paciente), para el apoyo a la toma de decisiones clínicas relativas al manejo terapéutico, seguimiento o pronóstico de pacientes con cáncer de mama, pulmón, colon-recto o próstata. También se propone evaluar el impacto de los cCDSS en cáncer a nivel organizativo, legal, ético y social/de pacientes.L'objectiu general d'aquest informe d'ETS és avaluar la seguretat, eficàcia, efectivitat i eficiència dels sistemes electrònics de suport a les decisions clíniques (computeritzed Clinical Decision Support Systems o cCDSS), específicament dels considerats de nivell mitjà (p. ex. calculadores pronòstiques o GPC automatitzades) i de nivell alt (aquells que utilitzen la IA per formular recomanacions específiques per a un pacient), per al suport a la presa de decisions clíniques relatives al maneig terapèutic, seguiment o pronòstic de pacients amb càncer de mama, pulmó, còlon-recte o pròstata. També es proposa avaluar l'impacte dels cCDSS en càncer a nivell organitzatiu, legal, ètic i social/de pacients.The overall objective of this HTA report is to evaluate the safety, efficacy, effectiveness, and efficiency of (computeritzed Clinical Decision Support Systems (cCDSS), specifically those considered medium level (e.g. prognostic calculators or automated CPGs) and high level (those that use AI to formulate patient-specific recommendations), for clinical decision support regarding the therapeutic management, follow-up, or prognosis of patients with breast, lung, colon-rectum or prostate cancer. It is also proposed to assess the impact of cCDSS in cancer at organizational, legal, ethical, and social/patient level

Taking into Account the Complementarity of Contemporary Breast Cancer Guidelines to Leverage Decision Support in the DESIREE Project.

Breast cancer is one of the most common cancers in Western countries and the first cause of death among women in France. Studies have reported that the compliance of the treatment with breast cancer clinical practice guidelines (CPGs) is accompanied with a significant improvement of recurrence-free survival and overall survival rates. However, compliance of multidisciplinary tumour board decisions with CPGs remains non-satisfactory. The European project DESIREE aims at building a software package to support the guideline-based management of breast cancer patients. The aim is to select multiple relevant contemporary CPGs published on the management of breast cancer and to concurrently apply them to benefit of the complementarity of the recommendations issued, and leverage the guideline-based decision support. We used a clinical case to compare NCCN and ESMO CPGs in terms of concordance, complementarity, and conflicts. Out of the 757 decision rules extracted from both CPGs, 64 rules were triggered (32 from NCCN, and 32 from ESMO) by the clinical case. Ten rules were concordant, 52 complementary, and two conflicting. Complementarity relies on the different levels of granularity of the IF-parts of the rules that lead to different specific THEN-parts. Another type of complementarity comes from the provision of specific care apart from the breast cancer therapeutic management. The few inter- and intra-CPGs conflicts show the limits of CPGs in particular situations still debated by medical research

2020, UMaine News Press Releases

This is a catalog of press releases put out by the University of Maine Division of Marketing and Communications between January 2, 2020 and December 15, 2020

National Women's Studies Association Annual Conference: Feminist Transgressions

Digital program for the National Women's Studies Association 35th Annual Conference, held November 13-16, 2014, in San Juan, Puerto Rico

Food for All

This book is a historical review of international food and agriculture since the founding of the international organizations following the Second World War, including the World Bank and the Food and Agriculture Organization of the United Nations (FAO), the World Food Programme (WFP) and into the 1970s, when CGIAR was established and the International Fund for Agricultural Development (IFAD) was created to recycle petrodollars. The book concurrently focuses on the structural transformation of developing countries in Asia and Africa, with some making great strides in small farmer development and in achieving structural transformation of their economies. Some have also achieved Sustainable Development Goals (SDGs), particularly SDG2, but most have not. Not only are some countries, particularly in South Asia and sub-Saharan Africa, lagging behind, but they face new challenges of climate change, competition from emerging countries, population pressure, urbanization, environmental decay, dietary transition, and now pandemics. Lagging developing countries need huge investments in human capital, and physical and institutional infrastructure, to take advantage of rapid change in technologies, but the role of international assistance in financial transfers has diminished. The COVID-19 pandemic has not only set many poorer countries back but starkly revealed the weaknesses of past strategies. Transformative changes are needed in developing countries with international cooperation to achieve better outcomes. Will the change in US leadership bring new opportunities for multilateral cooperation