Lucas R W, Card W I, Knill-Jones R P, Watkinson G, Crean G P
Br Med J. 1976 Sep 11;2(6036):623-5. doi: 10.1136/bmj.2.6036.623.
A system of routine interrogation of patients using a computer has been developed. It includes a visual display unit with a specially designed response keyboard, and the program has been designed to adapt to the individual patient. The system was evaluated objectively, using the criteria of accuracy in eliciting symptoms, acceptability to the patient, and cost. While doctors will always take the ultimate management decisions, it seems that machines can be programmed to undertake the routine interrogation of patients, elicit evidence accurately and acceptably, and calculate the probabilities of disease as effectively as doctors.
已经开发出一种使用计算机对患者进行常规问诊的系统。它包括一个带有专门设计的响应键盘的可视显示单元,并且该程序已被设计为能适应个体患者。使用引发症状的准确性、患者的可接受性和成本等标准对该系统进行了客观评估。虽然医生将始终做出最终的治疗决策,但似乎可以对机器进行编程,使其对患者进行常规问诊,准确且可接受地获取证据,并像医生一样有效地计算疾病的概率。