Crane V S
Presbyterian Hospital of Dallas, TX 75231.
Am J Hosp Pharm. 1988 Mar;45(3):548-53.
Clinical decision analysis as a basic tool for decision making is described, and potential applications of decision analysis in six areas of clinical practice are identified. Clinical decision analysis is a systematic method of describing clinical problems in a quantitative fashion, identifying possible courses of action, assessing the probability and value of outcomes, and then making a calculation to select the ultimate course of action. Clinical decision analysis provides a structure for clinical decision problems, helps clarify medical controversies, and encourages decision makers to speak a common language. Applications of clinical decision analysis in the areas of diagnostic testing, patient management, product and program selection, research and education, patient preferences, and health-care-policy evaluation are described. Decision analysis offers health professionals a tool for making quantifiable, cost-effective clinical decisions, especially in terms of clinical outcomes.
描述了作为决策基本工具的临床决策分析，并确定了决策分析在六个临床实践领域的潜在应用。临床决策分析是一种以定量方式描述临床问题、确定可能的行动方案、评估结果的概率和价值，然后进行计算以选择最终行动方案的系统方法。临床决策分析为临床决策问题提供了一个框架，有助于澄清医学争议，并鼓励决策者使用共同的语言。描述了临床决策分析在诊断测试、患者管理、产品和项目选择、研究与教育、患者偏好以及医疗保健政策评估等领域的应用。决策分析为卫生专业人员提供了一种进行可量化、具有成本效益的临床决策的工具，尤其是在临床结果方面。
