Shortliffe E H
JAMA. 1987 Jul 3;258(1):61-6.
Computer programs to assist with medical decision making have long been anticipated by physicians with both curiosity and concern. This article summarizes the current status of computer-based medical decision support, the goals of system developers, the reasons for slow progress since the field began almost 30 years ago, and the logistical and scientific challenges that lie ahead. It emphasizes in particular that decision-support programs are intended to serve as tools for trained practitioners who retain ultimate responsibility for determining diagnostic and therapeutic strategies.
长期以来，医生们对辅助医疗决策的计算机程序既好奇又担忧。本文总结了基于计算机的医疗决策支持的现状、系统开发者的目标、自该领域大约30年前起步以来进展缓慢的原因，以及未来面临的后勤和科学挑战。它特别强调，决策支持程序旨在作为工具，供对确定诊断和治疗策略负有最终责任的训练有素的从业者使用。
