Pitty D L, Reeves P I
Royal Brompton Hospital, London, England, UK.
Comput Methods Programs Biomed. 1995 Sep-Oct;48(1-2):35-8. doi: 10.1016/0169-2607(95)01657-f.
Against a backdrop of many demonstrably proficient expert systems that are not routinely used, and a user community that is skeptical of the benefits of using such technology in healthcare, the AIM funded Dilemma project is attempting to introduce decision support technology into shared care environments within scenarios from the specialties of oncology and cardiology. This paper outlines the experiences of one work-package of the Dilemma project which is concerned with the development of applications with a decision support component for use in shared care of coronary artery disease patients. We suggest reasons why expert systems have failed to gain acceptance in the past, and conclude that a shift in emphasis from building expert systems to building clinically useful applications that have an expert system component may improve the chances of acceptance of this technology in the future.
在许多已证明很熟练但未被常规使用的专家系统，以及对在医疗保健中使用此类技术的益处持怀疑态度的用户群体这一背景下，由AIM资助的“困境”项目正试图将决策支持技术引入肿瘤学和心脏病学专业场景中的共享护理环境。本文概述了“困境”项目一个工作包的经验，该工作包涉及开发具有决策支持组件的应用程序，用于冠状动脉疾病患者的共享护理。我们提出了专家系统过去未能获得认可的原因，并得出结论，从构建专家系统转向构建具有专家系统组件的临床有用应用程序，可能会提高该技术未来被接受的机会。
