Hudson Donna L, Cohen Maurice E
Family and Community Medicine, University of California, San Francisco, USA.
Annu Int Conf IEEE Eng Med Biol Soc. 2009;2009:3405-8. doi: 10.1109/IEMBS.2009.5332471.
A century ago the physician had too little information on which to determine accurate diagnoses. Due to the rapid progression of technology in the Twentieth Century and the beginning of the Twenty-First Century, this situation changed significantly. Now the physician is faced with multi-parameter analyses that include sophisticated imaging, advanced cardiovascular studies, extensive laboratory tests, and genetic information, all of which impact diagnosis, treatment, and prognosis. New informatics tools are needed to assist, not replace, the physician in the decision process. Decision analysis tools must be flexible to accommodate new methods of diagnosis as well as advances in information technology. In this article, basic structures are defined that can form the basis of such a system.
一个世纪前，医生掌握的信息太少，无法做出准确的诊断。由于20世纪和21世纪初技术的快速发展，这种情况发生了显著变化。现在，医生面临着多参数分析，包括精密成像、先进的心血管研究、广泛的实验室检查和基因信息，所有这些都会影响诊断、治疗和预后。需要新的信息学工具来辅助医生进行决策，而不是取代他们。决策分析工具必须灵活，以适应新的诊断方法和信息技术的进步。本文定义了可以构成此类系统基础的基本结构。
