互联网信息技术的快速发展使得从大规模的健康医疗数据中挖掘具有"人机交互"的临床路径管理模式成为可能。本文在分析传统临床路径管理模式的基础上,结合互联网医疗发展特点及健康医疗大数据环境,提出了元决策下的临床路径管理模式。并详细论述了元决策下的临床路径管理模式发现过程,基于医患共同决策的临床路径实施过程,元决策下的临床路径管理模式的优越性、适用性及决策过程中的博弈关系,以期推动相关研究探索与实践发展,促进医疗行业的深度变革。
Mining the clinical pathway management modes of "human-computer interaction" from the massive healthcare data have been proved to be possible with the development of Internet information technology.By combining the development characteristics of the Internet healthcare and the big data environment of medical health, we construct a novel clinical pathway management mode with meta decision-making based on the traditional clinical pathway.The authors elaborated the discovery process of clinical pathway management mode with meta decision-making, the implementation process of clinical pathway management mode based on doctor-patient shared decision-making, the superiority and applicability of clinical pathway based on Meta decision-making, and the game relationship in the decision-making process, which is expected to promote the related research exploration and practical development, and accelerate the in-depth reform of medical industry.