Many studies have shown that health-education messages and patient
instructions are more effective when closely tailored to the particular
condition and characteristics of the individual recipient. But in
situations where many factors interact -- for example, in explaining
the pros and cons of hormone replacement therapy -- the number of
different combinations is far too large for a set of appropriately
tailored messages to be produced in advance.
The HealthDoc project is presently developing linguistic techniques for
producing, on demand, health-education and patient-information
brochures that are customized to the medical and personal
characteristics of an individual patient.
For each topic, HealthDoc requires a 'master document' written by an
expert on the subject with the help of a program called an 'authoring
tool'. The writer decides upon the basic elements of the text --
clauses and sentences -- and the patient conditions under which each
element should be included in the output. The program assists the
writer in building correctly structured master-document fragments and
annotating them with the relationships and conditions for inclusion.
When a clinician wishes to give a patient a particular brochure from
HealthDoc, she will select it from a menu and specify the name of the
patient. HealthDoc will use information from the patient's on-line
medical record to then create and print a version of the document
appropriate to that patient, by selecting the appropriate pieces of
material and then performing the necessary linguistic operations to
combine them into a single, coherent text.