Multi-criteria clinical decision support: A primer on the use of multiple criteria decision making methods to promote evidence-based, patient-centered healthcare.
Multi-criteria clinical decision support: A primer on the use of multiple criteria decision making methods to promote evidence-based, patient-centered healthcare.
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DOI：
10.2165/11539470-000000000-00000
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发表时间：
2010
期刊：
影响因子：
--
通讯作者：
Dolan JG
中科院分区：
文献类型：
--
作者：
Dolan JG
当前的医疗质量模型建议患者管理决策以证据为基础，以患者为中心。循证决策需要全面了解有关疾病自然史的现有信息和不同管理方案的预期结果。以患者为中心的决策将患者的偏好，价值观和独特的个人情况纳入决策过程，并积极参与患者沿着与医疗保健提供者尽可能多。因此，从根本上讲，基于证据、以患者为中心的决策是多维度的，通常涉及多个决策者。决策科学的进步导致了许多多标准决策方法的发展。这些多标准方法旨在帮助人们在面临涉及多个维度的复杂决策时做出更好的选择。当需要将联合收割机“硬数据”与主观偏好结合起来，在期望的结果之间进行权衡，并涉及多个决策者时，它们特别有用。以证据为基础、以患者为中心的临床决策具有所有这些特征。这种密切的匹配表明，基于多标准决策技术的临床决策支持系统有可能使患者和提供者能够在临床环境中有效和高效地执行以证据为基础的以患者为中心的护理所需的任务。本文的目的是给读者一个多标准方法的范围，并显示如何使用它们来支持临床决策的一般性介绍。所讨论的方法包括资产负债表法、平均互换法、顺序排序法、直接加权法、多属性决策分析法和层次分析法
Current models of healthcare quality recommend that patient management decisions be evidence-based and patient-centered. Evidence-based decisions require a thorough understanding of current information regarding the natural history of disease and the anticipated outcomes of different management options. Patient-centered decisions incorporate patient preferences, values, and unique personal circumstances into the decision making process and actively involve both patients along with health care providers as much as possible. Fundamentally, therefore, evidence-based, patient-centered decisions are multi-dimensional and typically involve multiple decision makers. Advances in the decision sciences have led to the development of a number of multiple criteria decision making methods. These multi-criteria methods are designed to help people make better choices when faced with complex decisions involving several dimensions. They are especially helpful when there is a need to combine “hard data” with subjective preferences, to make trade-offs between desired outcomes, and to involve multiple decision makers. Evidence-based, patient-centered clinical decision making has all of these characteristics. This close match suggests that clinical decision support systems based on multi-criteria decision making techniques have the potential to enable patients and providers to carry out the tasks required to implement evidence-based, patient-centered care effectively and efficiently in clinical settings. The goal of this paper is to give readers a general introduction to the range of multi-criteria methods available and show how they could be used to support clinical decision-making. Methods discussed include the balance sheet, the even swap method, ordinal ranking methods, direct weighting methods, multi-attribute decision analysis, and the analytic hierarchy process (AHP)
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影响因子：
120.7
作者：
Bodenheimer, T;Wagner, EH;Grumbach, K
通讯作者：
Grumbach, K
DOI：
10.1186/1478-7547-4-14
发表时间：
2006-08-21
期刊：
Cost effectiveness and resource allocation : C/E
影响因子：
--
作者：
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通讯作者：
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影响因子：
--
作者：
Elwyn, G;Edwards, A;Grol, R
通讯作者：
Grol, R
影响因子：
2.2
作者：
Fisher, Kathleen;Orkin, Fredrick;Frazer, Christine
通讯作者：
Frazer, Christine
影响因子：
2.8
作者：
Goetghebeur MM;Wagner M;Khoury H;Levitt RJ;Erickson LJ;Rindress D
通讯作者：
Rindress D