Integrated Colorectal Cancer Screening Based on Decision Support Information System

E. Maserat
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Abstract

Background: Decision making modalities for cancer screening for many conditions and different stages have become increasingly complex. Reengineering of traditional and paper-based decision support information system as an innovation strategy facilitates scheduling and decision making and support the delivery of cancer screening services. Objectives: The aim of study is to business process reengineering based on decision support information system in order to integration of colorectal cancer screening plan in Iranian population. Methods: The research method used in this study is mix method research (MMR) which combines quantitative methods and qualitative methods. Data collection techniques and tools in this study are: (1) Situational analysis method by checklist. The status of the current information system was evaluated with a checklist and (2) interview and focus group discussion; it is based on the 37 views of experts. Results: In this study, present screening information system was surveyed of six dimensions. These dimensions were general specification, functions, technologies, data resources, users, manual and standards of screening information system. The present information system performed only 25.1% of the expected information system tasks. The next step, conceptual models of integrated CRC screening information system are developed and approved by experts. Conclusions: Reengineering is a powerful and significant change strategy that can bring quality improvements in decision making processes of colorectal cancer screening plan. Therefore, to support the successful reengineering of decision support information system, comprehensive survey of infrastructures is needed in order to improve the quality of colorectal cancer screening plan.
基于决策支持信息系统的大肠癌综合筛查
背景:针对多种疾病和不同阶段的癌症筛查决策模式已变得日益复杂。作为一项创新战略,对传统的纸质决策支持信息系统进行再造,可促进日程安排和决策制定,并支持癌症筛查服务的提供。研究目的本研究旨在基于决策支持信息系统进行业务流程再造,以整合伊朗人口的结直肠癌筛查计划。研究方法:本研究采用的研究方法是混合方法研究(MMR),它结合了定量方法和定性方法。本研究的数据收集技术和工具包括(1) 通过核对表进行情况分析法。使用核对表对当前信息系统的状况进行评估;(2) 访谈和焦点小组讨论;访谈和焦点小组讨论以专家的 37 条意见为基础。研究结果本研究从六个维度对目前的筛查信息系统进行了调查。这些维度包括筛查信息系统的总体规范、功能、技术、数据资源、用户、手册和标准。目前的信息系统仅完成了预期信息系统任务的 25.1%。下一步,将开发 CRC 筛查综合信息系统的概念模型,并通过专家评审。结论再设计是一种强大而重要的变革策略,可提高大肠癌筛查计划决策过程的质量。因此,为了支持决策支持信息系统的成功再造,需要对基础设施进行全面调查,以提高大肠癌筛查计划的质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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