An ontological knowledge framework for adaptive medical workflow
Journal of Biomedical Informatics
An Ontology for the Care of the Elder at Home
AIME '09 Proceedings of the 12th Conference on Artificial Intelligence in Medicine: Artificial Intelligence in Medicine
Mining hospital data to learn SDA* clinical algorithms
AIME'07 Proceedings of the 2007 conference on Knowledge management for health care procedures
Automatic generation of clinical algorithms within the state-decision-action model
Expert Systems with Applications: An International Journal
Journal of Biomedical Informatics
BPM' 2012 Proceedings of the 2012 international conference on Process Support and Knowledge Representation in Health Care
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Medical interventions can be compared attending to their health benefits and costs but also considering the similarity of the clinical actions involved. An intervention is a dominant alternative with respect to another intervention if it is better and cheaper. In this paper we introduce a hierarchy of medical actions that provides the semantics required by a methodology to detect dominant alternative interventions. After a formal introduction of this methodology, it is applied to analyze the data about the long term treatment of hypertension in the health care center ABS Vandellòs-l'Hospitalet de l'Infant (Spain) in the years 2005-2009 in order to analyze feasible cost reductions after replacing medical interventions by their corresponding optimal, observed, dominant alternatives. This study shows that the use of this methodology reduces the average cost of each clinical encounter in €1.37.