Decision Support Systems in Health Care

Y. E. Walus; H. W. Ittmann; L. Hanmer

doi:10.1055/s-0038-1634693

Methods of Information in Medicine, Inhaltsverzeichnis

Methods Inf Med 1997; 36(02): 82-91
DOI: 10.1055/s-0038-1634693

Original Article

Schattauer GmbH

Decision Support Systems in Health Care

Authors

Y. E. Walus

¹Decision Support Services, CSIR, Pretoria, South Africa
H. W. Ittmann

¹Decision Support Services, CSIR, Pretoria, South Africa
L. Hanmer

²Medical Research Council, Bellville, South Africa

Abstract

Abstract:

This paper delineates the application of decision support systems in the healthcare arena. An overview of decision support systems in the healthcare environment in the last three to five years, mostly in the USA and the UK is provided. Some reference is made to work in South Africa. Although this report endeavours to emphasise the decision support system side, some operations research issues are also addressed. This paper is divided into several sections: decision support systems definition, techniques used, the use of operations research in specific areas of healthcare, information systems, assessment of decision support systems, in-house development, decision support in South Africa and future of decision support systems.

Keywords:

Decision Support Systems - Healthcare - Case Studies

Volltext

Referenzen

References
1 Aller KC. Informed clinical management: Decision support systems and physicians. Topics in Health Information Management. 1993
2 Morton S. Management Decision Systems: Computer-based support for decision making. Cambridge: Harvard University Press; 1971
3 Ittmann HW. Decision Support System – its scope and impact on organisations. TWISK 397. National Research Institute for Mathematical Sciences, CSIR; 1985: 1-137.
4 French S, Liang X. Decision Support Systems: A Decision Analytic Perspective. Developments in Operations Research. 1993. Conference extracts published by the British Operational Research Society.;
5 French S. OK, so what is a decision support system?. J Multi-Crit Dec An 1992; 1: 63.
6 Ittmann HW. MIS, DSS, ES, ESS ... Different but the same!. Internal report IKOMP 88/15. Centre for Advanced Computing and Decision Support, CSIR; 1988: 1-13.
7 Keen PGW. Every manager’s guide to information technology. Cambridge: Harvard Business School Press; 1991
8 McClean S, Millard P. Go with the Flow. OR Insight 1994; 3: 2-5.
9 Jousimaa J, Kunnamo I. PDRD – a computer-based primary care decision’ support system. Med Informatics 1993; 18: 103-12.
10 Alty JL, Coombs MJ. Expert Systems, Concepts and Examples. NCC Publications; 1984
11 Kelly MJ. Teaching applications of expert systems. J Teaching Soc Work 1994; 9: 37-47.
12 Wang MM, Chen J, Webster L. A hypermedia expert system for advanced cardiac life support management. Dec Supp Sys 1994; 12: 169-79.
13 Wyatt J. Computer-based knowledge systems. Lancet 1991; 338.
14 Butler TW, Karwan KR, Sweigart JR. Multi-level strategic evaluation of hospital plans and decisions. J Oper Res Soc 1992; 7: 665-75.
15 The OR Society on Simulation in Healthcare Management. Guys Hospital; London: 1994
16 Shahani AK, Gove DJ, Hewett DJ. Hospital capacity models. In EURO XIII/OR 36 Proceedings 1994; 133.
17 Vissers J. Patient flow based allocation of hospital resources. In EURO XIII/OR 36 Proceedings 1994; 133.
18 De Oliveria MJF. A patient-oriented modelling of the emergency admission systems of a Brazilian hospital. In EURO XIII/OR 36 Proceedings 1994; 136.
19 Schleyer TKL. Temple Dental School Uses an Expert System to Schedule Students’ Clinical Rotations. Interfaces 1994; 24: 13-21.
20 Khan MR, Callahan BB. Planning laboratory staffing with a queuing model. Euro J Oper Res 1993; 67: 321-31.
21 Siferd SP, Benton WC. A decision model for shift scheduling of nurses. Euro J Oper Res 1994; 74: 519-27.
22 Randhawa SU, Sitompul D. A heuristic-based computerised nurse scheduling system. Comp Opns Res 1993; 20.
23 Ball M, Feng FL. A reliability model applied to emergency service vehicle location. Opns Res 1993; 41: 18-36.
24 Aubin J. Scheduling Ambulances. Opns Res 1993; 41.
25 McAleer WE, Naqvi IA. The relocation of ambulance stations: A successful case study. Eur J Oper Res 1994; 75.
26 Repede JF, Bernardo JJ. Developing and validating a decision support system for locating emergency vehicles in Louisville, Kentucky. Eur J Oper Res 1994; 75.
27 Sherlaw-Johnson C, Gallivan S, Patterson DLH, Treasure T. Auditing and evaluating the long-term progression of coronary artery disease. In EURO XIII/OR 36 Proceedings 1994; 134-5.
28 Doel C, Gallivan S, Jenkins D. When should liver biopsy be performed for patients suspected of having cancer?. In EURO XIII/OR 36 Proceedings 1994; 134.
29 Jones SK, Shahani AK, Taylor R. Mathematical modelling of colorectal cancer. In EURO XIII/OR 36 Proceedings 1994; 138.
30 Korpinen L, Frey H. Sleep Expert – an intelligent medical decision support system for sleep disorders. Med Informatics 1993; 18: 163-170.
31 Beech R. Population carrier screening for cystic fibrosis: analysis and ethics come face to face. In EURO XIII/OR 36 Proceedings 1994; 134.
32 Verheyen PA, Nederstigt PFPM. A cost-allocation system applied to Dutch hospitals. Eur J Oper Res 1992; 58: 393-403.
33 Martin JL, Harrison TP. Design and implementation of an expert system for controlling health care costs. Opns Res 1993; 41: 819-34.
34 Artiba A, Tahon C. Production Planning Knowledge-Based System for Pharmaceutical Manufacturing Lines. Eur J Oper Res 1992; 61: 18-29.
35 Riedlinger WF. How many reps are too many?. Med Market Media 1994; 29-3.
36 Klimberg R, Revelle C, Cohon J. Improving the effectiveness of FDA drug inspection. Opns Res 1992; 40: 845-55.
37 Dangerfield B, Roberts C. OR Work in HIV/AIDS – Second Edition. Operational Research Society; 1994
38 Griffiths J, Williams J. Charting the AIDS epidemic in the UK, OR Work in HIV/AIDS – Second Edition. Operational Research Society; 1994
39 Dangerfield B, Roberts C. Fitting a model of the spread of AIDS to data from five European countries, OR Work in HIV/AIDS – Second Edition. Operational Research Society; 1994
40 Brailsford S, Shahani A. Operational models for the natural history of HJV and AIDS, OR Work in HIV/AIDS – Second Edition. Operational Research Society; 1994
41 Bowen T, Forte P, Smith M. A service planning model for HJV and AIDS, OR Work in HIV/AIDS – Second Edition. Operational Research Society; 1994
42 Li LX, Xu LD. An integrated information system for the intervention and prevention of AIDS. Int J Bio-Med Comput 1991; 29: 191-206.
43 Yakowitz S, Hayes R, Gani J. Automatic learning for dynamic Markov Fields with application to epidemiology. Opns Res 1992; 40: 867-76.
44 Heidenberg K, Flessa S. A system dynamics model for AIDS policy support in Tanzania. Eur J Oper Res 1993; 70: 167-76.
45 Roberts C, Dangerfield B. Modelling the epidemiological consequences of HIV infection and AIDS: A contribution from operational research. J Oper Res Soc 1990; 41 (04) 273-89.
46 Rosenhead J, Reddington K, Rizakou E. Planning for HIV and AIDS in a health district. OR Work in HIV/AIDS. 1990
47 Sapountzis C. Mathematical programming models in allocating units of blood to hospital blood banks. In EURO XIII/OR 36 Proceedings 1994; 135.
48 Le Roux J. Die optimale ligging van bloedbanke. Thesis (MSc) University of Stellenbosch; 1981
49 Blayden U, Jones SK, Shahani AK. Operational models for the care of people with diabetes. In EURO XIII/OR 36 Proceedings 1994; 131.
50 Davies R. Using simulation to plan services for long-term patients. In EURO XIII/OR 36 Proceedings 1994; 135.
51 Gove DJ, Meacock ME, Shahani AK, Bailey R, Mabey DC, Ward ME. Modelling intervention strategies for trachoma control. In EURO XIII/OR 36 Proceedings 1994; 136.
52 Fletcher L, Soden P. Optimisation methods for diet planning. In EURO XIII/OR 36 Proceedings 1994; 137.
53 Greenhalgh D. Modelling hepatitis A vaccination in Bulgaria. In EURO XIII/OR 36 Proceedings 1994; 137.
54 Neural Networks. OR/MS Today; 1994: 8.
55 Wharton F. A model for the design of intensive care units. The University of Hull Working Paper Series No. HUSM/FW/22. 1994
56 Sandiford P, Annett H, Cibulskis R. What can information systems do for primary health care?: an international perspective. Soc Sci Med 1992; 34: 1077-87.
57 Weaver RR. Assessment and diffusion of computerized decision-support systems. Inter J Techn Assess Health Care 1991; 7: 42-50.
58 Erens G, Salemink P, van der Merwe CA. Modelling oral health resources utilisation. Department of Quantitative Management, University of South Africa; South Africa: 1994
59 Vian T, Verjee S, Siegrist RB. Decision-Support Systems in Health Care. Inter J Techn Assess in Health Care 1993; 9: 369-79.