A System for Interactive Assessment and Management in Palliative Care

Chih Hung Chang, Alexander A. Boni-Saenz, Ramon A. Durazo-Arvizu, Susan DesHarnais, Denys T. Lau, Linda L. Emanuel

Research output: Contribution to journalArticlepeer-review

17 Scopus citations


The 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.

Original languageEnglish
Pages (from-to)745-755
Number of pages11
JournalJournal of Pain and Symptom Management
Issue number6
StatePublished - Jun 2007


  • Assessment
  • computerized adaptive testing
  • electronic medical records
  • informatics
  • item response theory
  • management
  • palliative care
  • practice guidelines
  • psychometrics
  • respondent's burden
  • statistical modeling
  • symptom


Dive into the research topics of 'A System for Interactive Assessment and Management in Palliative Care'. Together they form a unique fingerprint.

Cite this