Abstract
The prevalence of chronic diseases is growing year after year. This implies that health care systems must deal with an increasing number of patients with several simultaneous pathologies (i.e., comorbid patients), which involves interventions combining primary, specialist, and hospital cares. Clinical practice guidelines provide evidence-based information on these interventions, but only on individual pathologies. This sets up the urgent need of developing ways of merging multiple single-disease interventions to provide professional assistance to comorbid patients. Here, we propose an integrated care model formalizing the treatment of chronic comorbid patients across primary, specialist and hospital cares. The model establishes the baseline of a divide-and-conquer approach to the complex task of multiple therapy combination that was tested on the comorbidity of hypertension and chronic heart failure.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Similar content being viewed by others
References
Abidi, S.R., Abidi, S.S.R.: Towards the Merging of Multiple Clinical Protocols and Guidelines via Ontology-Driven Modeling. In: Combi, C., Shahar, Y., Abu-Hanna, A. (eds.) AIME 2009. LNCS, vol. 5651, pp. 81–85. Springer, Heidelberg (2009)
Ammenwerth, E., Schnell-Inderst, P., Machan, C., Siebert, U.: The Effect of Electronic Prescribing on Medication Errors and Adverse Drug Events: A Systematic Review. JAMIA 15(5), 585–600 (2008)
Boyd, C.M., Darer, J., et al.: Clinical Practice Guidelines and Quality of Care for Older Patients with Multiple Comorbid Diseases. JAMIA 294(6), 716–724 (2005)
GuiLine Interaction Detection Architecture (Glinda) project (March 2013), http://glinda-project.stanford.edu
Isern, D., Moreno, A., Sánchez, D., Hajnal, A., Pedone, G., Varga, L.Z.: Agent-based execution of personalised home care treatments. Appl. Intell. 34(2), 155–180 (2012)
López-Vallverdú, J.A., Riaño, D., Collado, A.: Rule-based combination of comorbid treatments for chronic diseases applied to hypertension, diabetes mellitus and heart failure. In: Lenz, R., Miksch, S., Peleg, M., Reichert, M., Riaño, D., ten Teije, A. (eds.) ProHealth 2012/KR4HC 2012. LNCS (LNAI), vol. 7738, pp. 30–41. Springer, Heidelberg (2013)
Riaño, D., Real, F., et al.: An ontology-based personalization of health-care knowledge to support clinical decisions for chronically ill patients. JBI 45, 429–446 (2012)
Schedlbauer, A., et al.: What Evidence Supports the Use of Computerized Alerts and Prompts to Improve Clinicians’ Prescribing Behavior? JAMIA 16, 531–538 (2009)
7th Report on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. US Dept. Health Human Services (2003)
Guia de maneig de la diabetes (March 2013) (in Catalan), www.grupsagessa.com/documents/menupai/pai_diabetis-catala.pdf
Dickstein, K., et al.: ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2008. European Heart Journal 29, 2388–2442 (2008)
Unstable angina and NSTEMI (March 2013), http://www.nice.org.uk/guidance/CG94
Guia de maneig de la hipercolesterolèmia (March 2013) (in Catalan), www.grupsagessa.com/documents/menupai/pai_hipercolesterolemia-catala.pdf
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Riaño, D., Collado, A. (2013). Model-Based Combination of Treatments for the Management of Chronic Comorbid Patients. In: Peek, N., Marín Morales, R., Peleg, M. (eds) Artificial Intelligence in Medicine. AIME 2013. Lecture Notes in Computer Science(), vol 7885. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-38326-7_2
Download citation
DOI: https://doi.org/10.1007/978-3-642-38326-7_2
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-38325-0
Online ISBN: 978-3-642-38326-7
eBook Packages: Computer ScienceComputer Science (R0)