EXPERIENCE WITH A MODEL OF SEQUENTIAL DIAGNOSIS
EXPERIENCE WITH A MODEL OF SEQUENTIAL DIAGNOSIS
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DOI：
10.1016/0010-4809(68)90016-5
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发表时间：
1968-01-01
期刊：
影响因子：
--
通讯作者：
BARNETT, GO
中科院分区：
文献类型：
--
作者：
GORRY, GA;BARNETT, GO
当医生试图处理诊断问题时，他必须有两种不同类型的信息：病人的症状和体征，以及有关疾病状态的相关医学知识。然后，医生必须利用这些信息来做出某些决定：应该收集关于患者状况的哪些额外信息;最可能的疾病状态是什么;误诊的潜在后果是什么;特定临床情况的治疗和预后意义是什么。在诊断问题中的重大错误的可能性，再加上所涉及的决策活动，促使了广泛的工具，以提高诊断医生的性能的发展。本文报道了利用计算机技术作为辅助诊断活动的工具的努力。
A physician must have available 2 different classes of information when he attempts to deal with a diagnostic problem: the presenting signs and symptoms of the patient, and the pertinent medical knowledge about the disease state. The physician must then use this information in arriving at certain decisions: what additional information about the condition of the patient should be collected; what disease states are most probable; what are the potential consequences of misdlagnosis; what are the therapeutic and prognostic implications of the particular clinical situation. The possibility of significant errors in a diagnostic problem coupled with the decision-making activities involved have motivated the development of a wide range of tools to improve the performance of the diagnostician. This paper reports on an effort to exploit computer technology as such a tool for assitance in the diagnostic activity.