决策支持系统对三个培训水平的医学从业者鉴别诊断的影响。
The influence of a decision support system on the differential diagnosis of medical practitioners at three levels of training.
作者信息
Murphy G C, Friedman C P, Elstein A S, Wolf F M, Miller T, Miller J G
机构信息
University of North Carolina at Chapel Hill, USA.
出版信息
Proc AMIA Annu Fall Symp. 1996:219-23.
As computer-based diagnostic consultation systems become, available, their influence and usefulness need to be evaluated. This report, based on partial data from a larger study, examines the influence of Iliad, a diagnostic consultation system, on the differential diagnosis of fourth year medical students, residents in medicine, and attendings in general internal medicine. Our results show that when faced with difficult diagnostic cases, medical students add significantly more diagnoses from Iliad's differential than do residents or attendings. However, the quality of Iliad's diagnostic advice in terms of the presence of the correct diagnosis, is no better for consultations done by students or residents compared to attendings.
随着基于计算机的诊断咨询系统的出现，需要对其影响和实用性进行评估。本报告基于一项更大规模研究的部分数据，考察了诊断咨询系统Iliad对四年级医学生、内科住院医师以及普通内科主治医师鉴别诊断的影响。我们的结果表明，在面对疑难诊断病例时，医学生从Iliad的鉴别诊断中添加的诊断比住院医师或主治医师显著更多。然而，就正确诊断的存在而言，Iliad为学生或住院医师提供的诊断建议质量并不比主治医师更好。
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