Mathisen K S, Evans F J, Meyers K
Carrier Foundation, Belle Mead, New Jersey 08502.
Hosp Community Psychiatry. 1987 Dec;38(12):1311-5. doi: 10.1176/ps.38.12.1311.
An interactive, computerized version of the Diagnostic Interview Schedule (DIS) was completed by 135 randomly selected psychiatric inpatients and evaluated by the patients and their psychiatrists. The results showed that the majority of the patients interacted well with the computer and that the treating psychiatrists found the computer reports generally accurate and helpful. Analysis of the agreement between the computer and the psychiatrists' diagnoses yielded mixed results depending on the method of analysis chosen. The thoroughness, consistency, and broad perspective of the computer interview combined with the insight, creativity, and experience of the well-trained clinician may ultimately provide a method of diagnosis that is superior to either used alone.
135名随机挑选的精神科住院患者完成了一份交互式计算机化的诊断访谈表（DIS），并由患者及其精神科医生进行评估。结果显示，大多数患者与计算机互动良好，主治精神科医生认为计算机生成的报告总体准确且有帮助。根据所选分析方法的不同，对计算机诊断与精神科医生诊断之间一致性的分析得出了不同的结果。计算机访谈的全面性、一致性和广阔视角，再加上训练有素的临床医生的洞察力、创造力和经验，最终可能会提供一种优于单独使用任何一种方法的诊断方式。
