Medical Decision Making: sox/Medical Decision Making

Medical Decision Making: sox/Medical Decision Making
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医疗决策:sox/医疗决策

DOI:
10.1002/9781118341544
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发表时间:
2013
期刊:
JAMA
影响因子:
--
通讯作者:
D. Owens
D. Owens
中科院分区:
--
文献类型:
--
作者:
H. Sox;M. C. Higgins;D. Owens

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医疗决策详细的资源展示了如何在结合临床实践指南和决策支持系统的同时最好地做出医疗决策早期传奇医生威廉·奥斯勒爵士曾说过:“医学是一门不确定性的科学,也是一门概率的艺术。”在奥斯勒的时代和现在,治疗决定往往不能等到诊断确定后才做出。医疗决策是关于如何在不确定性的情况下做出最佳决策。该书展示了如何根据已发表的证据、患者的疾病特征和患者的偏好,在不确定的情况下制定决策,以实现最佳结果。医疗决策描述了一个强大的框架,可帮助临床医生及其患者做出决策,从而获得患者喜欢的结果。该框架包含临床实践中以患者为中心的决策的关键原则。自 1988 年第一版《医疗决策》以来,作者一直致力于解释关键概念并用临床实例进行说明。第三版对每一章都进行了修订和更新。 《医疗决策》由四位杰出的高素质作者撰写,包括以下信息:如何考虑患者疾病的可能原因并决定最重要诊断的概率。如何衡量诊断测试的准确性。如何帮助患者表达对他们面临的风险以及疾病如何影响他们的生活的担忧。如何描述疾病随时间变化的不确定性。如何构建和分析决策树。如何确定进行测试或开始治疗的阈值 如何将这些概念应用于实践指南的设计和医疗政策的制定。对于希望充分理解决策原理并将其应用于临床实践的临床医生、医学实习生和决策分析学生来说,医疗决策是宝贵的资源。
MEDICAL DECISION MAKING Detailed resource showing how to best make medical decisions while incorporating clinical practice guidelines and decision support systems Sir William Osler, a legendary physician of an earlier era, once said," Medicine is a science of uncertainty and an art of probability." In Osler’s day, and now, decisions about treatment often cannot wait until the diagnosis is certain. Medical Decision Making is about how to make the best possible decision given that uncertainty. The book shows how to tailor decisions under uncertainty to achieve the best outcome based on published evidence, features of a patient’s illness, and the patient’s preferences. Medical Decision Making describes a powerful framework for helping clinicians and their patients reach decisions that lead to outcomes that the patient prefers. That framework contains the key principles of patient-centered decision-making in clinical practice. Since the first edition of Medical Decision Making in 1988, the authors have focused on explaining key concepts and illustrating them with clinical examples. For the Third Edition, every chapter has been revised and updated. Written by four distinguished and highly qualified authors, Medical Decision Making includes information on: How to consider the possible causes of a patient’s illness and decide on the probability of the most important diagnoses. How to measure the accuracy of a diagnostic test. How to help patients express their concerns about the risks that they face and how an illness may affect their lives. How to describe uncertainty about how an illness may change over time. How to construct and analyze decision trees. How to identify the threshold for doing a test or starting treatment How to apply these concepts to the design of practice guidelines and medical policy making. Medical Decision Making is a valuable resource for clinicians, medical trainees, and students of decision analysis who wish to fully understand and apply the principles of decision making to clinical practice.