Using value of information to guide evaluation of decision supports for differential diagnosis: is it time for a new look?

被引：4

作者：

Braithwaite, R. Scott ^{[1
]}

Scotch, Matthew ^{[2
]}

机构：

[1] NYU, Sch Med, Dept Populat Hlth, New York, NY 10016 USA

[2] Arizona State Univ, Dept Biomed Informat, Scottsdale, AZ USA

来源：

BMC MEDICAL INFORMATICS AND DECISION MAKING | 2013年 / 13卷

关键词：

Value of information; Decision support; Differential diagnosis; PATIENT SIMULATIONS; SCORING PERFORMANCE; SYSTEMS; TRIAL;

D O I：

10.1186/1472-6947-13-105

中图分类号：

R-058 [];

学科分类号：

摘要：

Background: Decision support systems for differential diagnosis have traditionally been evaluated on the basis of criteria how sensitively and specifically they are able to identify the correct diagnosis established by expert clinicians. Discussion: This article questions whether evaluation criteria pertaining to identifying the correct diagnosis are most appropriate or useful. Instead it advocates evaluation of decision support systems for differential diagnosis based on the criterion of maximizing value of information. Summary: This approach quantitatively and systematically integrates several important clinical management priorities, including avoiding serious diagnostic errors of omission and avoiding harmful or expensive tests.

引用

页数：5

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