E.A. BALASHOVA, L.I. MAZUR

Samara State Medical University, Samara

 Contact details:

Balashova E.A. — Ph. D. (medicine), Associate Professor of the Hospital Pediatrics Department

Address: 89 Chapaevskaya St., Samara, Russian Federation, 443099, tel.: +7 (846) 207-31-04; e-mail: mine22@yandex.ru

When conducting dynamic monitoring of children in outpatient settings, the unified methods of clinical examination and health assessment play an important role. Electronic Clinical Decision Support Systems (DSS) can assist a physician in systematization of patient’s medical information.

The disadvantages of DSS are the costs of development, implementation and maintenance, providing personal data security and difficulties in personnel training, as well as the need for duplication of information and disruption of work when a system fails. On the other hand, the introduction of DSS increases the examination and history completeness and stimulates a patient for an active dialogue.

In our opinion, DSS are most effective when aimed at bringing the doctor’s tactics in line with clinical guidelines. In collaboration with Samara State University of Economics, we developed a DSS for outpatient pediatric setting. Based on the family and obstetric history and examination results, DSS determines risk groups and whether there is a need to correct the observation program in the first year of life. The program dynamically tracks physical, motor and cognitive development, creates a vaccination calendar and a calendar of check-ups by a pediatrician, specialists, laboratory and instrumental tests.

Key words: decision-making support systems, children, outpatient setting.

 (For citation: Balashova E.A, Mazur L.I. Clinical Decision Support Systems in outpatient pediatric practice. Practical Medicine. 2019. Vol. 17, № 5, P. 185-190)

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