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| 临床决策支持系统技术现状及质量评价思路初探 |
| Current technique status andpreliminary quality evaluation study of clinical decision support system |
| 投稿时间：2019-06-24 修订日期：2019-08-08 |
| DOI： |
| 中文关键词: 临床决策支持系统 人工智能 算法 伦理 可移植性 |
| 英文关键词: Clinical Decision Support System Artificial Intelligence Algorithms Ethics Portability |
| 基金项目:国家重点研发计划(2017YFC0111203) |
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| 中文摘要: |
| 目的：本文主要探索临床决策支持系统的质量评价方法和检测手段。我国监管部门对CDSS的法律责任和监管模式正在探索之中，如何更好地规范CDSS，使其发挥临床辅助作用,是监管科学的重要研究方向。方法：通过调研临床决策支持系统的发展现状以及分析现有的具有一定影响力的临床决策支持系统的技术特性，在此基础上，讨论临床决策支持系统在医疗领域的发展趋势和所面临的挑战。并对临床决策支持系统在质量评价过程中需重点关注的内容进行比较全面的总结，包括分类方法、评价方法和伦理问题。结果与结论：临床决策支持系统正处于蓬勃发展期，相应的技术和业态也在不断形成中，目前来说，绝大多数临床决策支持系统并不能直接给出相应的决策，多数还是处于启发和帮助医护人员进行思考阶段。对于监管和评价来说，面临的挑战主要来自于算法适应性、决策透明性、界面可用性、系统鲁棒性和可移植性等因素的评价。 |
| 英文摘要: |
| Objective: This paper mainly explores the quality evaluation methods and detection methods of clinical decision support system (CDSS). It is an important research direction of supervisory science that how to better regulate CDSS and make it play a clinical assistant role in China. Methods: By investigating the development status of clinical decision support system and analyzing the technical characteristics of existing influential clinical decision support system, the development trend and challenges of clinical decision support system in the medical field were discussed. It also summarizes the key points of clinical decision support system in the process of quality evaluation, including classification methods, evaluation methods and ethical issues. Result and Conclusion: The clinical decision support system (CDSS) is in a period of vigorous development, and the corresponding technologies and formats are constantly forming. At present, most of the CDSS can not directly give the corresponding decision-making, and most of them are still in the process of inspiring and helping medical staff to think. For monitoring and evaluation, the challenges mainly come from the evaluation of algorithm adaptability, decision transparency, interface availability, system robustness and portability. |
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