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Expert Systems and Decision Support in Medicine - 33rd Annual Meeting of the Gmds, Efmi Special Topic Meeting, Peter L. Reichertz Memorial Conference, Hannover, September 26-29, 1988. Proceedings (English, German, Paperback)
Otto Rienhoff, Ursula Piccolo, Berthold Schneider
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R3,127
Discovery Miles 31 270
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Ships in 10 - 15 working days
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The 33rd Annual Meeting of the German Association for Medical
Documentation, Informatics and Statistics was combined with a
Special Topic Conference of the European Federation for Medical
Informatics and takes place at Hannover, F. R. of Germany, from
September 26 to 29, 1988. It was planned and initililly prepared by
the late Prof. P. L Reichertz, who headed the Hannover institute
from 1969 to 1987. To commemorate his contribution to the
development of medicine the conference was devoted to him "Peter
Reichertz Memorial Conference on Expert Systems and Decision
Support in Medicine" Since computers in the early Fifties were
first applied to support medical reasoning, various phases of
euphoria and resi ation have . followed. Every new methodology
which became technically possible was and will be applied to the
old questlon of how to diagnose diseases more reliably. Artificial
Intelligence is just one new approach to the old challenge. Over
the years some. authors have been very optimistic and put forward
opinions which motivated the common press to coin the phrase 'Dr.
med. computer'. Papers printed under this heading rebuffed the
majority of physiCians for many years. Today we know that medical
decision making is a most complex buman performance. And 30 years
of research on decision support have given us only limited insight
into the underlying processes. Most of the principal methodological
questions were already asked very early on."
The Working Group 5 of the International Medical Informatics Associ
ation (IMIA) dedicates its work to information systems in primary
and ambulatory care. The first conference of this Working Group in
Hanno ver in 1980 produced a review of the state of the art of that
time and gave perspectives for future development (Rienhoff, O. and
Abrams, M.E. (eds.): The Computer in the Doctor's Office, Horth
Holland, Amsterdam: 1980). In the meantime, a rapid development has
taken place. Therefore it seemed appropriate to hold another
working conference which was con ducted in Munich, December 2-6,
1985. The goal of this working conference was to review the
developments in this field and to critically evaluate the progress
achieved so far. The conference addressed general principles in
system development and prerequisists for their successful
introduction into routine use. Furthermore, the topics of expert
systems and new technologies were discussed in the context of their
usefulness and usability in ambula tory care systems. As before, it
became very clear that actual computer systems to sup port
ambulatory and/or primary care have to meet the conditions of the
health care delivery systems, into which they are to be placed."
The Working Group 5 of the International Medical Informatics
Associa tion (IMIA) is dedicated to information systems in primary
care with special emphasis on computer systems in the doctor's
office. Accord ingly, a conference was held in Hannover in 1980
where the first ap proaches were described and experiences in
system analysis, system construction and evaluation were discussed
(Rienhoff, O. and Abrams, M.E. (eds.): The Computer in the Doctor's
Office, North-Holland, Amsterdam: 1980). Computer hardware and
software development has been rapid over the last years. Thus the
prerequisites for a successful support of the work of the physician
in his office have improved. But system con struction still lags
behind and the actual penetration of systems is lower than 2 % of
the doctors' offices in most countries. This applies to
industrialized countries. However, attempts are made everywhere to
improve primary care by means of modern information technology.
Information systems depend upon the real environment into which
they are placed: administrative procedures govern priorities and
procedures in doctor's office computers, possibilities to defray
cost upon the various carriers or the patients have a great
influence on the propagation of systems. Furthermore, various
procedures of accounting or re-imbursement may lead to a
facilitation or to a delay of the in troduction of systems. The
'art of medical practice' has reached a comparable standard within
at least the industrialized countries."
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