ARDC Research Link Australia

ORCID Profile
Orcid icon. 0000-0001-5201-6176

Current Organisations
Cornell University Joan and Sanford I Weill Medical College , Columbia University College of Physicians and Surgeons , Arizona State University

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Publications

Publication

50 Years of Informatics Research on Decision Support: What’s Next

Publisher: Georg Thieme Verlag KG

Date: 2011

DOI: 10.3414/ME11-06-0004

Abstract: Objectives: To reflect on the history, status, and future trends of decision support in health and biomedical informatics. To highlight the new challenges posed by the complexity and ersity of genomic and clinical domains. To examine the emerging paradigms for supporting cost-effective, personalized decision making. Methods: A group of international experts in health and biomedical informatics presented their views and discussed the challenges and issues on decision support at the Methods of Information in Medicine 50th anniversary symposium. The experts were invited to write short articles summarizing their thoughts and positions after the symposium. Results and Conclusions: The challenges posed by the complexity and ersity of the domain knowledge, system infrastructure, and usage pattern are highlighted. New requirements and computational paradigms for representing, using, and acquiring biomedical knowledge and healthcare protocols are proposed. The underlying common themes identified for developing next-generation decision support include incorporating lessons from history, uniform vocabularies, integrative interfaces, contextualized decisions, personalized recommendations, and adaptive solutions.