内科医生1号/快速医学参考项目——进展报告
The INTERNIST-1/QUICK MEDICAL REFERENCE project--status report.
作者信息
Miller R A, McNeil M A, Challinor S M, Masarie F E, Myers J D
出版信息
West J Med. 1986 Dec;145(6):816-22.
INTERNIST-1 and its successor, QUICK MEDICAL REFERENCE (QMR), are computer programs designed to provide health care professionals with diagnostic assistance in general internal medicine. Both programs rely on the INTERNIST-1 computerized knowledge base, which comprehensively describes 570 diseases in internal medicine. The philosophies behind the development of each program differ. Whereas INTERNIST-1 functions solely as a high-powered diagnostic consultant program, the QMR program acts more as an information tool, providing users with multiple ways of reviewing and manipulating the diagnostic information in the program's knowledge base. At the lowest level, the program can be viewed as an electronic textbook of medicine. In addition, the QMR program has the ability to assist users with generating hypotheses in complex patient cases. The QMR program has not been evaluated formally as an information tool for practicing physicians. A preliminary study indicates that QMR's case-analysis capabilities are of potential benefit in most patients in internal medicine admitted for diagnostic evaluation.
内科医生决策支持系统-1（INTERNIST-1）及其后续版本快速医学参考系统（QMR）是旨在为普通内科医疗保健专业人员提供诊断辅助的计算机程序。这两个程序都依赖于内科医生决策支持系统-1的计算机化知识库，该知识库全面描述了570种内科疾病。每个程序开发背后的理念不同。内科医生决策支持系统-1仅作为一个功能强大的诊断咨询程序运行，而QMR程序更像是一个信息工具，为用户提供多种方式来查看和处理程序知识库中的诊断信息。在最低层面上，该程序可被视为一本电子医学教科书。此外，QMR程序有能力协助用户在复杂的患者病例中生成假设。QMR程序尚未作为执业医师的信息工具进行正式评估。一项初步研究表明，QMR的病例分析能力对大多数因诊断评估而入院的内科患者可能有益。
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