Forsythe D E, Buchanan B G
Department of Computer Science, University of Pittsburgh, PA 15260.
Proc Annu Symp Comput Appl Med Care. 1991:8-12.
Evaluation in medical informatics tends to follow the paradigm of controlled clinical trials. This model carries with it a number of assumptions whose implications for medical informatics deserve examination. In this paper, we describe the conventional wisdom on evaluation, pointing out some of its underlying assumptions and suggesting that these assumptions are problematic when applied to some aspects of evaluation. In particular, we believe that these assumptions contribute to the problem of user acceptance. We then suggest a broader approach to evaluation, offering some conceptual and methodological distinctions that we believe will be of use to the medical informatics community in rethinking this issue.
医学信息学中的评估往往遵循对照临床试验的范式。这种模式带有一些假设,其对医学信息学的影响值得审视。在本文中,我们描述了关于评估的传统观念,指出其一些潜在假设,并表明这些假设在应用于评估的某些方面时存在问题。特别是,我们认为这些假设导致了用户接受度的问题。然后,我们提出一种更广泛的评估方法,提供一些概念和方法上的区别,我们相信这些区别将有助于医学信息学领域重新思考这个问题。