A principled approach to the design of healthcare systems: Autonomy vs. governance

A. Taleb-Bendiab, David England, Martin Randles, Philip Miseldine and Karen Murphy

Reliability Engineering and System Safety, 2006, vol. 91, issue 12, 1576-1585

Abstract: In this paper, we look at decision support for post-operative breast cancer care. Our main concerns are to support autonomy of decision making whilst maintaining the governance and reliability of the decision-making process. We describe the context of our work in the wider medical setting. We then present a set of decision support tools based on the situation calculus as a means of maintaining the integrity of rule bases underlying the decision-making system. The decision support system, Neptune, allows for the authoring, maintenance and delivery of decisions in a self-governing framework. Finally we discuss the implications of our work.

Keywords: Decision support; Breast cancer care; Autonomy; Self-governing systems (search for similar items in EconPapers)
Date: 2006
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Citations: View citations in EconPapers (3)

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Persistent link: https://EconPapers.repec.org/RePEc:eee:reensy:v:91:y:2006:i:12:p:1576-1585

DOI: 10.1016/j.ress.2006.01.011

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