Abstract
Health care systems are facing new challenges such as the aging population, the increasing amount of chronicle diseases and the rapid development of medical technologies. The increasing of the related health care costs lead to the limits of affordability of health care systems. Building Health networks and standardization of clinical processes are the main trend facing these challenges. Actually, the main instrument for documentation and managing of clinical processes are Clinical Pathways (CPs). They allow to transfer evident knowledge in practice and they are the central point of clinical quality management. In contrast, Clinical Practice Guidelines (CPGs) aggregate the evident medical knowledge in a compact form to support physicians in their practice. In the paper analyze the model-driven development of CP for a health network. Therefore, we work out problems of integration. Finally, the paper shows aspect for a model-based integration of CPGs in CPs. These findings are proofed with the help of the documentation of the regional stroke-network called SOS-NET.
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Rotter, T., Kugler, J., Koch, R., Gothe, H., Twork, S., van Oostrum, J., Steyerberg, E.: A systematic review and meta-analysis of the effects of clinical pathways on length of stay, hospital costs and patient outcomes. BMC Health Services Research 8, 265 (2008)
Field, M.J., Lohr, K.N.: Clinical practice guidelines: directions for a new program. National Academies Press, Washington (1990)
Thomas, L.: Clinical practice guidelines. Evidence Based Nursing 2, 38–39 (1999)
Schuette, R., Rotthowe, T.: The Guidelines of Modeling - An Approach to Enhance the Quality in Information Models. In: Ling, T.-W., Ram, S., Li Lee, M. (eds.) ER 1998. LNCS, vol. 1507, pp. 240–254. Springer, Heidelberg (1998)
Fettke, P., Loos, P.: Klassifikation von informationsmodellen-nutzenpotenziale, methode und anwendung am beispiel von referenzmodellen. In: Working Paper of the Research Group Information Systems & Management, Universität Mainz, vol. 9 (2002)
Rosemann, M., Schwegmann, A., Delfmann, P.: Vorbereitung der Prozessmodellierung. In: Prozessmanagement, pp. S45–S103. Springer, Berlin (2002)
Frank, U.: Conceptual modelling as the core of the information systems discipline-perspectives and epistemological challenges. In: Proceedings of the Fifth Americas Conference on Information Systems (AMCIS 1999), pp. S13–S15 (August 1999)
Becker, J., Delfmann, P., Ralf, K.: Konstruktion von Referenzmodellierungssprachen - Ein Ordnungsrahmen zur Spezifikation von Adaptionsmechanismen für Informationsmodelle, pp. 251–264 (2004)
Campbell, H., Hotchkiss, R., Bradshaw, N., Porteous, M.: Integrated care pathways. BMJ, 133–137 (1998)
Kaveh, D., Shojania, M., Ansari, M., Ji, J., Doucette, S., Moher, D.: How quickly do systematic reviews go out of date? A Survival Analysis. Anal. of Internal Medicine 147, 224–233 (2007)
Kolominsky-R, P.L., Heuschmann, P.U., Marschall, D., Emmert, M., Baltzer, N.: Lifetime Cost of Ischemic Stroke in Germany: Results and National Projections From a Population-Based Stroke Registry. Stroke 37, 1179–1183 (2006)
De Bleser, L., Depreitere, R., De Waele, K., Vanhaecht, K., Vlayen, J., Sermeus, W.: Defining pathways. Journal of Nursing Management 14, 553–563 (2006)
Greiling, M., Rudloff, B.: Klinische Pfade optimal gestalten. Baumann Fachzeitschriften Verlag, Berlin (2005)
Priori, S.G., Klein, W., Bassand, J.P.: Medical Practice Guidelines: separating science from economics. European heart journal 24, 1962 (2003)
Wollersheim, H., Burgers, J., Grol, R.: Clinical guidelines to improve patient care. The Netherlands Journal of Medicine 63, 188–192 (2005)
Jacobs, B., Oberhoff, C., Stausberg, J.: Ableitung von Klinischen Pfaden aus evidenzbasierten Leitlinien am Beispiel der Behandlung des Mammakarzinoms der Frau, http://www.egms.de/static/de/journals/mibe/2007-3/mibe000057.shtml
Hellmann, W.: Praxis Klinischer Pfade: Viele Wege führen zum Ziel. Ecomed. (2003).
Schluechter, D., Conen, T., Holler, T., Müller, H., Schmid, K.: Pfad-Controlling im Modell integrierter Patientenpfade - ein neues, innovatives Prozesscontrolling-Instrument. Gesundheitsökonomie & Qualitätsmanagement 8, 355–362 (2003)
Peleg, M., Tu, S., Bury, J., Ciccarese, P., Fox, J., Greenes, R.A., Hall, R., Johnson, P.D.: Comparing Computer-interpretable Guideline Models: A Case-study Approach. Journal of the American Medical Informatics Association 10, 52–68 (2003)
Kaiser, K., Akkaya, C., Miksch, S.: How can information extraction ease formalizing treatment processes in clinical practice guidelines? Artif. Intell. Med. 39, 151–163 (2007)
Arden Syntax, http://www.hl7.org/implement/standards/ardensyntax.cfm
ASTM E2210 -06 Standard Specification for Guideline Elements Model version 2, http://www.astm.org/Standards/E2210.htm
Schütte, R.: Grundsätze ordnungsmäßiger Referenzmodellierung. Gabler (1998)
vom Brocke, J., Buddendick, C.: Referenzmodellierung: Grundlagen, Techniken und domänenbezogene Anwendung. Physica-Verlag, Heidelberg (2007)
Barak, N., Margolis, C., Gottlieb, L.: Proposal for Clinical Algorithm Standards: Society for Medical Decision Making Committee on Standardization of Clinical Algorithms. Medical Decision Making 12, 149–154 (1992)
Rosemann, M.: Komplexitätsmanagement in Prozeßmodellen. Gabler, Wiesbaden (2002)
Scheer, A.: ARIS–business process frameworks. Springer, Heidelberg (1999)
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Schlieter, H., Esswein, W. (2010). From Clinical Practice Guideline to Clinical Pathway –Issues of Reference Model-Based Approach. In: Camarinha-Matos, L.M., Boucher, X., Afsarmanesh, H. (eds) Collaborative Networks for a Sustainable World. PRO-VE 2010. IFIP Advances in Information and Communication Technology, vol 336. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-15961-9_30
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DOI: https://doi.org/10.1007/978-3-642-15961-9_30
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