Wong J B, Moskowitz A J, Pauker S G
West J Med. 1986 Dec;145(6):805-15.
Many difficult medical decisions involve uncertainty. Decision analysis-an explicit, normative and analytic approach to making decisions under uncertainty-provides a probabilistic framework for exploring difficult problems in nondeterministic domains. As the methodology has advanced, clinical decision analysis has been applied to increasingly complex medical problems and disseminated widely in the medical literature. Unfortunately, this approach imposes a heavy computational burden on analysts. Microcomputer-based decision-support software can ease this burden.
许多困难的医疗决策都存在不确定性。决策分析——一种在不确定性下做出决策的明确、规范且分析性的方法——为探索非确定性领域中的难题提供了一个概率框架。随着该方法的不断发展,临床决策分析已被应用于越来越复杂的医疗问题,并在医学文献中广泛传播。不幸的是,这种方法给分析人员带来了沉重的计算负担。基于微型计算机的决策支持软件可以减轻这一负担。