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Integrierte Behandlungskonzepte und multidisziplinär organisierte Prozessketten im radiologischen Kontext

Integrated care concepts and multidisciplinary process chains in a radiological context

  • Informationstechnologie und Management
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Zusammenfassung

Moderne patientenzentrierte und kosteneffiziente Versorgungskonzepte in Krankenhäusern erfordern die Abbildung multidisziplinär organisierter Prozessketten in klinischen Behandlungspfaden. Klinische Entscheidungsunterstützungssysteme und Operations-Research-Methoden ermöglichen über Algorithmen die Patientenklassifizierung zu homogenen Gruppen und die Modellierung eines kompletten klinischen Behandlungspfades zur Terminierung der einzelnen Prozeduren. Über eine verbesserte Ressourcenauslastung, verringerte Patientenwartezeiten und eine Verkürzung der Patientenverweildauer kann eine Verbesserung der ökonomischen Situation der versorgenden Einrichtung erzielt werden. Die interdisziplinäre Nutzung von zentral gespeicherten interoperablen Informationen und übergreifendes Behandlungsmanagement über Informationstechnologie(IT)-Services legen dabei die Basis für die Auflösung tradierter IT-Systemarchitekturen in der Medizin und die Herausbildung flexibel integrierbarer moderner Systemplattformen. Neue informationstechnische Ansätze wie die semantische standardisierte Definition von Prozeduren und Ressourceneigenschaften, der Einsatz von klinischen Entscheidungsunterstützungssystemen und die Nutzung serviceorientierter Systemarchitekturen bilden dabei die Grundlage für die tiefe Integration radiologischer Dienstleistungen in übergreifende interdisziplinäre Behandlungskonzepte.

Abstract

Modern patient-centered and cost-efficient care concepts in hospitals require the mapping of multidisciplinary process chains into clinical pathways. Clinical decision support systems and operations research methods use algorithms to classify patients into homogeneous groups and to model a complete clinical pathway for scheduling individual procedures. An improvement of the economic situation of the care facility can be achieved through improved resource utilization, reduced patient waiting times and a shortening of the length of stay. The interdisciplinary use of centrally stored interoperable information and comprehensive care management via information technology (IT) services lay the foundation for the dissolution of traditional IT system architectures in medicine and the development of flexibly integrable modern system platforms. New IT approaches such as the semantically standardized definition of procedures and resource properties, the use of clinical decision support systems and the use of service-oriented system architectures form the basis for the deep integration of radiology services into comprehensive interdisciplinary care concepts.

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  1. Abteilung Informationstechnologie, Klinikum rechts der Isar, Fakultät für Medizin, Technische Universität München, Ismaninger Str. 22, 81675, München, Deutschland

    J. Bauer, E. Kösel, A. G. Henkel & C. D. Spinner

  2. Lehrstuhl für Operations Management, Fakultät für Wirtschaftswissenschaften, Technische Universität München, München, Deutschland

    R. Kolisch

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J. Bauer, E. Kösel, A.G. Henkel, C.D. Spinner und R. Kolisch geben an, dass kein Interessenkonflikt besteht.

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Bauer, J., Kösel, E., Henkel, A.G. et al. Integrierte Behandlungskonzepte und multidisziplinär organisierte Prozessketten im radiologischen Kontext. Radiologe 62, 331–342 (2022). https://doi.org/10.1007/s00117-022-00976-x

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