02038nas a2200253   4500008004100000020002200041245007400063210006900137250001500206300001100221490000700232520121000239653002201449653001101471653005501482653005101537100001501588700002001603700002301623700001801646700001301664700001701677856009001694       2007                        eng d  a0885-3924 (Print)00aA system for interactive assessment and management in palliative care0 asystem for interactive assessment and management in palliative c  a2007/03/16  a745-550 v333 aThe availability of psychometrically sound and clinically relevant screening, diagnosis, and outcome evaluation tools is essential to high-quality palliative care assessment and management. Such data will enable us to improve patient evaluations, prognoses, and treatment selections, and to increase patient satisfaction and quality of life. To accomplish these goals, medical care needs more precise, efficient, and comprehensive tools for data acquisition, analysis, interpretation, and management. We describe a system for interactive assessment and management in palliative care (SIAM-PC), which is patient centered, model driven, database derived, evidence based, and technology assisted. The SIAM-PC is designed to reliably measure the multiple dimensions of patients' needs for palliative care, and then to provide information to clinicians, patients, and the patients' families to achieve optimal patient care, while improving our capacity for doing palliative care research. This system is innovative in its application of the state-of-the-science approaches, such as item response theory and computerized adaptive testing, to many of the significant clinical problems related to palliative care.10a*Needs Assessment10aHumans10aMedical Informatics/*organization & administration10aPalliative Care/*organization & administration1 aChang, C-H1 aBoni-Saenz, A A1 aDurazo-Arvizu, R A1 aDesHarnais, S1 aLau, D T1 aEmanuel, L L  uhttp://iacat.org/content/system-interactive-assessment-and-management-palliative-care