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Validated Data Bank and Dissemination for Prescribers

Objective

There is a gap between the information available on the risk/benefit ratio and the cost/effectiveness of many medical technologies and the use that is made of this information by the doctors.
There are several reasons for this ; one being that pertinent information does not reach the prescribers or is lost within the noise.
We propose to use modern technology, data banks, meta-analysis techniques, computer networks and doctor-friendly terminals to provide the European prescribers with validated information on medical technologies (i.e. drugs, other therapies, strategies for cure, prevention and diagnosis) based on pertinent data.
Modern information technology (in the form of data banks), metaanalysis techniques, computer networks and user friendly workstations) has been applied to the problem of supplying prescribers with validated information on drugs, nonpharmacological therapies and strategies for care, prevention and diagnosis. Definitions, basic concepts, information fluxes and procedures for handling the information were set up. Prototypes of procedures and tools were built and tested.
The project considered:
data collection;
validation processes;
message shaping processes;
dissemination. The best approach for information collection seemed to be a register approach based on voluntary notification. A first version of a software package for metaanalysis and data presentation has been produced. This software incorporates several techniques and a large array of graphical displays are available for the presentation of results. The ideal medical interface could not be identified from a review of the literature so a trial and error approach was taken. Hypertext was found to meet the demands. Options had to be available to provide an overview of validated information and check for the relevance of patient oriented information. The first prototype of the message data bank was presented to a panel of general practitioners. Compact disc read only memory technology appeared to be the most relevant medium to support the service. The requirements for a terminal and procedures in the physician's office have been identified. The pilot phase has achieved its main goals to elaborate the conceptual framework of a European system for transferring validated information to the prescriber; to identify the technical solutions that would best fit with both the objectives and the psychosociological and economic constraints; to demonstrate both the feasibility and the acceptability of the concept by the doctors.
In order to establish these objectives several phases must be established :
1. an operational core system which comprises : a data collection process, a pertinent information selection process, a validation process, message shaping process and a dissemination procedure ;
2. an administrative structure for future operations ;
3. an evaluation procedures.
The proposal is limited in the first phase to an evaluation of the difficulties that would be encountered in setting up such an approach and to the elaboration of potentially effective solutions.
The partners will not only have to consider technical problems but functional problems as well.
Main Deliverables :
Pertinent information, target population, data acquisition, trials, message databank, terminal procedures, social acceptability.
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Coordinator

APRET

Address

France

Participants (5)

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AKADEMISCH ZIEKENHUIS

Belgium

ERASMUS UNIVERSITY

Netherlands

Institut für Medizinische Informationsverarbeitung

Germany

MARIO NEGRI INSTITUTE FOR PHARMACOLOGICAL RESEARCH

Italy

Télésystèmes SA

France

Project information

Grant agreement ID: A 1020 (8417)

  • Start date

    Not Available

  • End date

    Not Available

Funded under:

FP2-AIM 1

Coordinated by:

APRET

France