DeNeef P
Department of Family Medicine, School of Medicine, University of Washington, Seattle 98195.
J Fam Pract. 1987 Oct;25(4):347-53.
Some physicians test for group A streptococcal pharyngitis in all patients who have a sore throat, while others use a variety of clinical strategies to select patients to be tested. Using published data on the accuracy of a clinical decision rule, this benefit-cost analysis compares the calculated outcomes of 21 different management strategies applied to 1,000 hypothetical adults with pharyngitis. Strategies that best accomplish one physician's treatment goals may perform poorly when evaluated in a different practice setting or using different goals. The best strategies are identified for different treatment objectives and for different assumptions about the benefits of treatment so each physician can choose a strategy consistent with his or her preferences.
一些医生会对所有喉咙痛的患者进行 A 组链球菌性咽炎检测，而其他医生则采用各种临床策略来选择需检测的患者。利用已发表的关于临床决策规则准确性的数据，这项效益成本分析比较了应用于 1000 名假设性咽炎成年患者的 21 种不同管理策略的计算结果。在不同的实践环境中或使用不同目标进行评估时，最能实现一位医生治疗目标的策略可能效果不佳。针对不同的治疗目标以及关于治疗益处的不同假设确定了最佳策略，以便每位医生都能选择符合其偏好的策略。
