Clinical decision theory: The threshold concept
Clinical decision theory: The threshold concept
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DOI：
10.1016/0300-2977(95)00035-6
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发表时间：
1995-12-01
影响因子：
--
通讯作者：
Habbema, JDF
中科院分区：
文献类型：
--
作者：
Habbema, JDF
快速增加的诊断和治疗可能性，患者和公众对高质量的要求以及成本控制的压力，都有助于努力开发更明确的临床推理和决策方法的重要性。临床决策理论的兴起，与个体患者护理决策问题的定量研究有关，可以部分地被视为对这一挑战的回应。临床决策科学之所以成为可能，是因为诊断（什么是错的？）、预后（会发生什么？）和治疗选择（对此可以做些什么？）的推理过程遵循独立于特定临床应用领域的规律。临床决策理论是一门真正的多学科科学。它使用了许多领域的方法和结果，包括数学决策理论，概率论，流行病学，统计学，信息学和cog-
The rapidly increasing diagnostic and therapeutic possibilities, the high-quality demands by patients and public and the pressure for cost containment all contribute to the importance of trying to develop more explicit approaches to clinical reasoning and decision making. The rise of clinical decision theory, which is concerned with the quantitative study of decision problems in individual patient care, can partly be seen as a response to this challenge. A science of clinical decision making is possible because reasoning processes in diagnostics (what is wrong?), prognosis (what will happen?) and therapy choice (what can be done about it?) obey laws which are independent of the particular clinical domain of application. Clinical decision theory is truly a multi-disciplinary science. It uses methods and results from many fields including mathematical decision theory, probability theory, epidemiology, statistics, informatics, and cog-