Support System for Early Diagnosis of Chronic Obstructive Pulmonary Disease Based on the Service-Oriented Architecture Paradigm and Business Process Management Strategy: Development and Usability Survey Among Patients and Health Care Providers
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Title: | Support System for Early Diagnosis of Chronic Obstructive Pulmonary Disease Based on the Service-Oriented Architecture Paradigm and Business Process Management Strategy: Development and Usability Survey Among Patients and Health Care Providers |
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Authors: | Ramón-Fernández, Alberto de | Ruiz-Fernandez, Daniel | Marcos-Jorquera, Diego | Gilart, Virgilio |
Research Group/s: | Ingeniería Bioinspirada e Informática para la Salud | Undefined |
Center, Department or Service: | Universidad de Alicante. Departamento de Tecnología Informática y Computación |
Keywords: | COPD | Misdiagnosis | Business process management strategy | Support system | Service-oriented architecture | Hospital information system | Early diagnosis |
Knowledge Area: | Arquitectura y Tecnología de Computadores |
Issue Date: | 17-Mar-2020 |
Publisher: | JMIR Publications |
Citation: | Journal of Medical Internet Research. 2020, 22(3): e17161. doi:10.2196/17161 |
Abstract: | Background: Chronic obstructive pulmonary disease (COPD) is a chronic respiratory disease with a high global prevalence. The main scientific societies dedicated to the management of this disease have published clinical practice guidelines for quality practice. However, at present, there are important weaknesses in COPD diagnosis criteria that often lead to underdiagnosis or misdiagnosis. Objective: We sought to develop a new support system for COPD diagnosis. The system was designed to overcome the weaknesses detected in current guidelines with the goals of enabling early diagnosis, and improving the diagnostic accuracy and quality of care provided. Methods: We first analyzed the main clinical guidelines for COPD to detect weaknesses that exist in the current diagnostic process, and then proposed a redesign based on a business process management (BPM) strategy for its optimization. The BPM system acts as a backbone throughout the process of COPD diagnosis in this proposed approach. The newly developed support system was integrated into a health information system for validation of its use in a hospital environment. The system was qualitatively evaluated by experts (n=12) and patients (n=36). Results: Among the 12 experts, 10 (83%) positively evaluated our system with respect to increasing the speed for making the diagnosis, helping in interpreting results, and encouraging opportunistic diagnosis. With an overall rating of 4.29 on a 5-point scale, 27/36 (75%) of patients considered that the system was very useful in providing a warning about possible cases of COPD. The overall assessment of the system was 4.53 on a 5-point Likert scale with agreement to extend its use to all primary care centers. Conclusions: The proposed system provides a functional method to overcome the weaknesses detected in the current diagnostic process for COPD, which can help foster early diagnosis, while improving the diagnostic accuracy and quality of care provided. |
Sponsor: | AR received financial support from the Ministry of Economy and Competitiveness (BES-2015-073611). |
URI: | http://hdl.handle.net/10045/104248 |
ISSN: | 1438-8871 |
DOI: | 10.2196/17161 |
Language: | eng |
Type: | info:eu-repo/semantics/article |
Rights: | © Alberto De Ramón Fernández, Daniel Ruiz Fernández, Diego Marcos-Jorquera, Virgilio Gilart Iglesias. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 17.03.2020. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included. |
Peer Review: | si |
Publisher version: | https://doi.org/10.2196/17161 |
Appears in Collections: | INV - Undefined - Artículos de Revistas INV - IBIS - Artículos de Revistas |
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2020_De-Ramon-Fernandez_etal_JMedInternetRes.pdf | 1,32 MB | Adobe PDF | Open Preview | |
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