Minakov E V, Kovalevskiĭ M E, Nesterovskiĭ I P
Sov Zdravookhr. 1991(5):34-7.
On the basis of physician's logic a questionnaire has been elaborated for identifying the most common diseases of digestive system during mass medical check-ups of rural population. 98 combinations of signs were considered in the diagnostic algorithm for making conclusions regarding 11 diseases. The programme elaborated envisages recommendations on the volume of examinations necessary for verification of diagnoses. The questionnaire and rules governing it were verified for 152 patients. By means of mathematical statistics methods the informativeness of the signs used have been assessed. The analysis showed a great diagnostic value of choosing signs on the basis of physician's logic taking into account their pathogenetic correlation. The efficiency of questionnaires have been demonstrated and sufficient under conditions of automated examinations sensitivity (on the average for diseases 78.1%) and specificity (on the average for diseases 70.0%).
基于医生的逻辑，精心设计了一份问卷，用于在农村人口大规模体检期间识别消化系统最常见的疾病。在诊断算法中考虑了98种体征组合，以对11种疾病做出诊断结论。所制定的程序针对确诊所需的检查项目提出了建议。该问卷及其使用规则在152名患者身上进行了验证。通过数理统计方法评估了所使用体征的信息量。分析表明，基于医生逻辑并考虑到其病因相关性来选择体征具有很大的诊断价值。已经证明问卷在自动检查条件下具有足够的效率，敏感性（疾病平均为78.1%）和特异性（疾病平均为70.0%）。
