Clinical decision support systems in child and adolescent psychiatry: a systematic review
| Autor: | Michael P. Milham, Norbert Skokauskas, Hans-Ulrich Prokosch, Thomas Frodl, María de la Iglesia Vayá, Silvana Quaglini, Bennett L. Leventhal, Øystein Nytrø, Massimo Molteni, Andre Sourander, Roman A. Koposov, Nicola Barbarini, Sturla Fossum, Francisco X. Castellanos |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Adolescent Best practice Clinical decision support system 03 medical and health sciences 0302 clinical medicine Adolescent Psychiatry Developmental and Educational Psychology medicine Child and adolescent psychiatry Humans 030212 general & internal medicine Child Psychiatry Child Psychiatry business.industry Public health General Medicine Decision Support Systems Clinical Mental health Psychiatry and Mental health Systematic review Child protection Family medicine Pediatrics Perinatology and Child Health business Inclusion (education) 030217 neurology & neurosurgery |
| Zdroj: | European Child & Adolescent Psychiatry. 26:1309-1317 |
| ISSN: | 1435-165X 1018-8827 |
| DOI: | 10.1007/s00787-017-0992-0 |
| Popis: | Psychiatric disorders are amongst the most prevalent and impairing conditions in childhood and adolescence. Unfortunately, it is well known that general practitioners (GPs) and other frontline health providers (i.e., child protection workers, public health nurses, and pediatricians) are not adequately trained to address these ubiquitous problems (Braddick et al. Child and Adolescent mental health in Europe: infrastructures, policy and programmes, European Communities, 2009; Levav et al. Eur Child Adolesc Psychiatry 13:395-401, 2004). Advances in technology may offer a solution to this problem with clinical decision support systems (CDSS) that are designed to help professionals make sound clinical decisions in real time. This paper offers a systematic review of currently available CDSS for child and adolescent mental health disorders prepared according to the PRISMA-Protocols (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols). Applying strict eligibility criteria, the identified studies (n = 5048) were screened. Ten studies, describing eight original clinical decision support systems for child and adolescent psychiatric disorders, fulfilled inclusion criteria. Based on this systematic review, there appears to be a need for a new, readily available CDSS for child neuropsychiatric disorder which promotes evidence-based, best practices, while enabling consideration of national variation in practices by leveraging data-reuse to generate predictions regarding treatment outcome, addressing a broader cluster of clinical disorders, and targeting frontline practice environments. |
| Databáze: | OpenAIRE |
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