Zarin D A, Pauker S G
J Med Philos. 1984 May;9(2):181-213. doi: 10.1093/jmp/9.2.181.
Physicians have developed a number of implicit and explicit approaches to complex medical decisions. Decision analysis is an explicit, quantitative method of clinical decision making that involves the separation of the probabilities of events from their relative values, or utilities. Its use can help physicians make difficult choices in a manner that promotes true patient participation. Decision analysis also provides a framework for the incorporation of data from multiple sources and for the assessment of the impact of uncertain data on the final decision. Although this approach is imperfect, it represents a significant advance in clinical decision making.
医生们已经开发出了许多处理复杂医疗决策的隐性和显性方法。决策分析是一种明确的、定量的临床决策方法，它涉及将事件的概率与其相对价值或效用区分开来。其应用有助于医生以促进患者真正参与的方式做出艰难选择。决策分析还为整合来自多个来源的数据以及评估不确定数据对最终决策的影响提供了一个框架。尽管这种方法并不完美，但它代表了临床决策方面的一项重大进步。
