Simpson P R, Chamberlain J
J Epidemiol Community Health (1978). 1978 Sep;32(3):166-70. doi: 10.1136/jech.32.3.166.
In this paper, we consider one of the decisions that have to be made about a screening programme: which type of test to use. Our study shows that knowledge of the sensitivities, specificities, and costs of alternative tests is an inadequate basis for the choice of test. The monetary values of the different possible results of the test must also be estimated, or judgements made about the likely magnitude of these values. If judgements have to be made, they should be explicit, because different individuals are likely to judge differently, and their opinions will critically affect the choice of test.
在本文中，我们考虑了关于筛查计划必须做出的一项决策：使用哪种类型的检测。我们的研究表明，仅了解替代检测的敏感性、特异性和成本，不足以作为选择检测的依据。还必须估计检测不同可能结果的货币价值，或者对这些价值的可能大小做出判断。如果必须做出判断，这些判断应该是明确的，因为不同的人可能会有不同的判断，而他们的意见将严重影响检测的选择。
