Optimizing clinical practice with case-based reasoning approach

被引:21
作者
Dussart, Claude [1 ,2 ]
Pommier, Pascal [3 ]
Siranyan, Valerie [4 ]
Grelaud, Gilles [1 ]
Dussart, Sophie [5 ]
机构
[1] Hosp Pharm, Mil Teaching Hosp Desgenettes, Lyon, France
[2] Univ Lyon 1, CNRS, Lab Anal Hlth Syst, Med Res Unity 5205, F-69365 Lyon, France
[3] Ctr Leon Berard, Reg Canc Ctr, Radiotherapy Unit, F-69373 Lyon, France
[4] Univ Lyon 1, Inst Pharmaceut Sci, F-69365 Lyon, France
[5] Ctr Leon Berard, Reg Canc Ctr, Biostat Unit, F-69373 Lyon, France
关键词
case-based reasoning; clinical practice; learning; reasoning;
D O I
10.1111/j.1365-2753.2008.01071.x
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Rationale and aims Learning through experience is an important approach that humans employ to comprehend new problems. The knowledge of physicians does not only consist of rules, but of a mixture of textbook knowledge and experience. Medical treatment is facing a challenge of knowledge discovery from the growing volume of information. Method Case-based reasoning (CBR) matches the natural reasoning model of human. This approach is similar to that used by physicians when they are thinking: 'I have seen a patient like this', and provides instant recollection of past cases that may be relevant to the present case. In fact, CBR is an approach for solving problems based on solutions of similar past cases. Unlike other forms of reasoning such as rule-based reasoning, CBR does not draw conclusions by chaining together generalized rules. Conclusion The application of CBR to medical databases can be powerful techniques to aid physicians in making decisions about the management of their patients, in various types of medical units. CBR is an effective reasoning strategy for optimizing clinical practice.
引用
收藏
页码:718 / 720
页数:3
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