A Multi-Criterial Support Tool for the Multimorbidity Decision in General Practice

Vije Kumar Rajput, Mette Kjer Kaltoft, Jack Dowie

Research output: Chapter in Book/Report/Conference proceedingArticle in proceedingsResearchpeer-review

Abstract

The magnitude and seriousness of the challenge posed by heterogeneous multimorbidity in most health services is now unquestioned. Equally well-acknowledged is the fact that existing guidelines essentially set out the principles of best practice in an idealised setting, concentrating on information gathering and not providing any personalisable decision support for the general practitioner aiming to share decision making with a person with multiple morbidities in the reality of routine practice. Existing decision aids have been developed largely within the single condition context and can draw on a body of robust research largely absent in the multimorbidity context. The need for a more flexible and generic approach which draws more on the clinician's expertise-based judgments has been called for, and we introduce a Decision Support Tool, GREST CLIN, in response to this call. Based on Multi-Criteria Decision Analysis it reflects the quantitative calculation approach to decision support rather than the deliberative reasoning of mainstream decision aids. It is emphasised that any evaluation should use the current decision making process as empirical comparator, rather than idealised normative standards, and that the primary outcome measure should be decision quality at the point of care, not downstream outcomes. A demonstration version of the tool is available online as proof of method.

Original languageEnglish
Title of host publicationProceedings of pHealth 2019
EditorsBernd Blobel, Mauro Giacomini
PublisherIOS Press
Publication date2019
Pages205-210
ISBN (Print)978-1-61499-974-4
ISBN (Electronic)978-1-61499-975-1
DOIs
Publication statusPublished - 2019
Event16th International Conference on Wearable, Micro & Nano technologies for Personalized Health - Italy, Italy
Duration: 10. Jun 201912. Jun 2019
Conference number: 16

Conference

Conference16th International Conference on Wearable, Micro & Nano technologies for Personalized Health
Number16
CountryItaly
CityItaly
Period10/06/201912/06/2019
SeriesStudies in Health Technology and Informatics
Volume261
ISSN0926-9630

Fingerprint

Decision Support Techniques
General Practice
Comorbidity
Point-of-Care Systems
Practice Guidelines
General Practitioners
Health Services
Outcome Assessment (Health Care)
Guidelines
Research

Keywords

  • decision aid
  • general practice
  • Multi-Criteria Decision Analysis
  • multi-morbidity
  • multimorbidity
  • patient-centred

Cite this

Rajput, V. K., Kaltoft, M. K., & Dowie, J. (2019). A Multi-Criterial Support Tool for the Multimorbidity Decision in General Practice. In B. Blobel, & M. Giacomini (Eds.), Proceedings of pHealth 2019 (pp. 205-210). IOS Press. Studies in Health Technology and Informatics, Vol.. 261 https://doi.org/10.3233/978-1-61499-975-1-205
Rajput, Vije Kumar ; Kaltoft, Mette Kjer ; Dowie, Jack. / A Multi-Criterial Support Tool for the Multimorbidity Decision in General Practice. Proceedings of pHealth 2019. editor / Bernd Blobel ; Mauro Giacomini. IOS Press, 2019. pp. 205-210 (Studies in Health Technology and Informatics, Vol. 261).
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Rajput, VK, Kaltoft, MK & Dowie, J 2019, A Multi-Criterial Support Tool for the Multimorbidity Decision in General Practice. in B Blobel & M Giacomini (eds), Proceedings of pHealth 2019. IOS Press, Studies in Health Technology and Informatics, vol. 261, pp. 205-210, 16th International Conference on Wearable, Micro & Nano technologies for Personalized Health, Italy, Italy, 10/06/2019. https://doi.org/10.3233/978-1-61499-975-1-205

A Multi-Criterial Support Tool for the Multimorbidity Decision in General Practice. / Rajput, Vije Kumar; Kaltoft, Mette Kjer; Dowie, Jack.

Proceedings of pHealth 2019. ed. / Bernd Blobel; Mauro Giacomini. IOS Press, 2019. p. 205-210 (Studies in Health Technology and Informatics, Vol. 261).

Research output: Chapter in Book/Report/Conference proceedingArticle in proceedingsResearchpeer-review

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Rajput VK, Kaltoft MK, Dowie J. A Multi-Criterial Support Tool for the Multimorbidity Decision in General Practice. In Blobel B, Giacomini M, editors, Proceedings of pHealth 2019. IOS Press. 2019. p. 205-210. (Studies in Health Technology and Informatics, Vol. 261). https://doi.org/10.3233/978-1-61499-975-1-205