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Designing biomedical informatics infrastructure for clinical and translational science.

机译:设计用于临床和转化科学的生物医学信息学基础设施。

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摘要

Clinical and Translational Science (CTS) rests largely on information flowing smoothly at multiple levels, in multiple directions, across multiple locations. Biomedical Informatics (BI) is seen as a backbone that helps to manage information flows for the translation of knowledge generated and stored in silos of basic science into bedside applications; however, improved communications among investigators have not been exploited to its full potential. Recognizing the needs for articulating CTS, its objectives and barriers, and identifying an architecture that harmonize the use of technology in CTS, a three-level design is proposed in this manuscript under a service oriented architecture perspective, based on the literature reviewed. In order to articulate the concepts and validate the proposition a total of 20 interviews were conducted with key informants. During the interviews a set of exercises aiming to validate the proposed CTS-BI platform architecture were conducted.;The manuscript proposes a definition of CTS that reflects the complexity of the translational process. It also identifies the objectives and barriers perceived by participants, and reports results and difficulties found in validating the architecture proposed. Overall, the partial validation of the CTS-BI platform design reflects the contribution of this work in the strategic alignment of technology to the core business of CTS Centers, while the concept of structuring functional blocks to describe the BI platform resulted difficult to validate.;The data revealed needs to further research and understand the cultural and legal incentives that today prevent the sharing of data and resources. Additionally, agents other than Academia, Healthcare Industry and Government were identified as key actors for the process of translation. Finally, respondents' opinions reflected the importance of understanding and communicating the scope of CTS, as well as testing methodologies for systematic architecture design.
机译:临床和转化科学(CTS)很大程度上取决于信息在多个级别,多个方向,多个位置的平稳流动。生物医学信息学(BI)被视为帮助管理信息流的基础,以将在基础科学孤岛中生成和存储的知识转换为床边应用程序。但是,尚未充分利用调查人员之间的交流优势。认识到阐明CTS的需求,其目标和障碍,并确定一种协调使用CTS中技术的体系结构,本手册根据面向服务的体系结构的观点,根据所复习的文献,提出了三层设计。为了阐明概念并验证该提议,共与关键线人进行了20次访谈。在访谈中,进行了一系列旨在验证所提出的CTS-BI平台架构的练习。;手稿提出了CTS的定义,该定义反映了翻译过程的复杂性。它还确定了参与者认为的目标和障碍,并报告了在验证所提议的体系结构中发现的结果和困难。总体而言,对CTS-BI平台设计的部分验证反映了这项工作在技术战略调整中对CTS中心核心业务的贡献,而构造描述BI平台的功能块的概念难以验证。数据揭示了需要进一步研究和理解今天阻碍数据和资源共享的文化和法律诱因。此外,还确定了学术界,医疗保健行业和政府部门以外的代理商是翻译过程的主要参与者。最后,受访者的意见反映了理解和交流CTS范围以及系统体系结构设计测试方法的重要性。

著录项

  • 作者

    La Paz Lillo, Ariel Isaac.;

  • 作者单位

    University of Illinois at Chicago.;

  • 授予单位 University of Illinois at Chicago.;
  • 学科 Business Administration General.;Information Science.
  • 学位 Ph.D.
  • 年度 2009
  • 页码 279 p.
  • 总页数 279
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 贸易经济;信息与知识传播;
  • 关键词

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