Miller R A
University of Pittsburgh, Medical Informatics Section, PA 15261, USA.
J Am Med Inform Assoc. 1994 Jan-Feb;1(1):8-27. doi: 10.1136/jamia.1994.95236141.
Articles about medical diagnostic decision support (MDDS) systems often begin with a disclaimer such as, "despite many years of research and millions of dollars of expenditures on medical diagnostic systems, none is in widespread use at the present time." While this statement remains true in the sense that no single diagnostic system is in widespread use, it is misleading with regard to the state of the art of these systems. Diagnostic systems, many simple and some complex, are now ubiquitous, and research on MDDS systems is growing. The nature of MDDS systems has diversified over time. The prospects for adoption of large-scale diagnostic systems are better now than ever before, due to enthusiasm for implementation of the electronic medical record in academic, commercial, and primary care settings. Diagnostic decision support systems have become an established component of medical technology. This paper provides a review and a threaded bibliography for some of the important work on MDDS systems over the years from 1954 to 1993.
关于医学诊断决策支持（MDDS）系统的文章往往开篇就有这样一个免责声明：“尽管在医学诊断系统上进行了多年研究并投入了数百万美元，但目前尚无任何一个系统得到广泛应用。” 虽然从没有单一诊断系统被广泛使用这个意义上来说，这句话仍然是正确的，但就这些系统的技术现状而言，它具有误导性。诊断系统，有简单的也有复杂的，如今无处不在，并且对MDDS系统的研究也在不断发展。随着时间的推移，MDDS系统的性质已经多样化。由于在学术、商业和初级医疗环境中实施电子病历的热情，现在大规模诊断系统被采用的前景比以往任何时候都要好。诊断决策支持系统已成为医疗技术的一个既定组成部分。本文对1954年至1993年期间MDDS系统的一些重要工作进行了综述并提供了带注释的参考文献目录。
