Ryder Hilary F, McDonough Christine, Tosteson Anna N A, Lurie Jon D
Semin Spine Surg. 2009 Dec;21(4):216-222. doi: 10.1053/j.semss.2009.08.003.
Healthcare decision-making can be complex, often requiring decision makers to weigh serious trade-offs, consider patients' values, and incorporate evidence in the face of uncertainty. Medical decisions are made implicitly by clinicians and other decision-makers on a daily basis. Decisions based largely on personal experience are subject to many biases. Decision analysis and cost-effectiveness analysis are systematic approaches used to support decision-making under conditions of uncertainty that involve important trade-offs. These mathematical tools can provide patients, physicians and policy makers with a useful approach to complex medical decision making.
医疗保健决策可能很复杂,通常要求决策者权衡重大的利弊,考虑患者的价值观,并在面对不确定性时纳入证据。临床医生和其他决策者每天都会隐性地做出医疗决策。很大程度上基于个人经验的决策容易受到多种偏差的影响。决策分析和成本效益分析是用于在涉及重要权衡的不确定性条件下支持决策的系统方法。这些数学工具可以为患者、医生和政策制定者提供一种应对复杂医疗决策的有用方法。