Wilson P D, Horrocks J C, Lyndon P J, Yeung C K, Page R E, De Dombal F T
Br Med J. 1975 Apr 12;2(5962):73-5. doi: 10.1136/bmj.2.5962.73.
A simplified version of a system for computer-aided diagnosis of acute abdominal pain has been tested by "new" personnel unfamiliar with the previous system. After a two-month learning period the system proved more accurate in its diagnoses than the unaided clinician, and during the first five months of using the system the unaided clinicians' accuracy rose from 73% to 84%. When computer "feedback" was withdrawn the clinicians' diagnostic accuracy reverted towards the previous, "unaided" level. These findings further validate the concept of the computer as a potentially valuable diagnostic aid but indicate that a training period and computer feedback are important factors in its 4 use.
一个用于急性腹痛计算机辅助诊断系统的简化版本,已由不熟悉先前系统的“新”人员进行了测试。经过两个月的学习期后,该系统在诊断方面被证明比无辅助的临床医生更准确,并且在使用该系统的前五个月中,无辅助临床医生的诊断准确率从73%提高到了84%。当计算机“反馈”被撤销时,临床医生的诊断准确率又恢复到先前的“无辅助”水平。这些发现进一步证实了计算机作为一种潜在有价值的诊断辅助工具的概念,但表明培训期和计算机反馈是其使用中的重要因素。