MEDICAL DIAGNOSTIC DECISION-SUPPORT SYSTEMS - PAST, PRESENT, AND FUTURE - A THREADED BIBLIOGRAPHY AND BRIEF COMMENTARY

MEDICAL DIAGNOSTIC DECISION-SUPPORT SYSTEMS - PAST, PRESENT, AND FUTURE - A THREADED BIBLIOGRAPHY AND BRIEF COMMENTARY
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DOI:
10.1136/jamia.1994.95236141
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发表时间:
1994-01-01
影响因子:
6.4
通讯作者:
MILLER, RA
MILLER, RA
中科院分区:
管理学2区
文献类型:
--
作者:
MILLER, RA

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关于医疗诊断决策支持(MDDS)系统的文章通常以免责声明开头,例如,尽管在医疗诊断系统上进行了多年的研究和数百万美元的支出,但目前还没有得到广泛使用。虽然这一说法在没有一个单一的诊断系统被广泛使用的意义上仍然是正确的,但它在这些系统的技术水平方面具有误导性。诊断系统,有简单的,也有复杂的,现在无处不在,对MDDS系统的研究正在增长。随着时间的推移,MDDS系统的性质已经多样化。由于在学术、商业和初级保健环境中实施电子病历的热情,现在采用大规模诊断系统的前景比以往任何时候都要好。诊断决策支持系统已经成为医疗技术的一个既定组成部分。本文对1954-1993年间有关MDDS系统的一些重要工作进行了回顾和参考书目。
Articles about medical diagnostic decision support (MDDS) systems often begin with a disclaimer such as, ''despite many years of research and millions of dollars of expenditures on medical diagnostic systems, none is in wdespread use at the present time.'' While this statement remains true in the sense that no single diagnostic system is in widespread use, it is misleading with regard to the state of the art of these systems. Diagnostic systems, many simple and some complex, are now ubiquitous, and research on MDDS systems is growing. The nature of MDDS systems has diversified over time. The prospects for adoption of large-scale diagnostic systems are better now than ever before, due to enthusiasm for implementation of the electronic medical record in academic, commercial, and primary care settings. Diagnostic decision support systems have become an established component of medical technology. This paper provides a review and a threaded bibliography for some of the important work on MDDS systems over the years from 1954 to 1993.