Characterisation of Clinical Practice Guideline Changes

Msosa, Yamiko Joseph and Keet, C. Maria and Densmore, Melissa R. (2016) Characterisation of Clinical Practice Guideline Changes, Proceedings of 9th International Joint Conference on Biomedical Engineering Systems and Technologies (BIOSTEC 2016), 21-23 February 2016, Rome, Italy, 5, 248-255, SCITEPRESS.

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Sub-Saharan Africa is facing a double crisis of high disease burden and shortage of healthcare resources. To cope with this challenge, many countries have adopted the practice of task-shifting with clinical practice guidelines (CPGs) as a key component. It is not unusual for CPGs to be revised or proved wrong, spurring frequent updates of state-mandated CPGs. This negatively affects maintainability of healthcare applications using those CPGs. Therefore, it is essential that the types of CPG changes are understood in order to develop clinical decision support systems that are maintainable through adequate support for CPGs. We take a bottom-up approach to analyse successive sets of CPGs so as to elucidate and characterise types of CPG changes overtime. The identified 10 type of changes in decisions, actions, and recommendations are exhaustive and affect fine-grained structural components of a CPG. We also determined their occurrences using Malawi’s HIV CPGs of 2008, 2011, and 2014 as case study. The results showed that the number of changes, as well as the type of changes that occur in successive versions, varies widely.

Item Type: Conference paper
Uncontrolled Keywords: Clinical Practice Guidelines, Computer-Interpretable Guidelines, Clinical Decision Support, Low Resource
Subjects: Computer systems organization > Architectures > Other architectures
Date Deposited: 25 Apr 2016
Last Modified: 10 Oct 2019 15:32

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