偏见的诊断医生的成本效益考虑
120088 The Portland VA Medical Center and the Division of Gastroenterology and Hepatology, Oregon Health & Science University, Portland, OR, USA.
Diagnosis (Berlin, Germany)
|July 19, 2024
概括
认知偏见通过限制理解和影响基于个人成本效益分析的测试选择,显著影响诊断准确性. 偏见和无偏见的诊断师都认为彼此的决定是现实的反转.
科学领域:
- 认知科学 认知科学
- 医学诊断 医学诊断 医学诊断
- 决策分析 决策分析
背景情况:
- 诊断性能通常通过灵敏度和特异性来量化.
- 认知偏见可以影响临床决策过程.
研究的目的:
- 量化分析认知偏差对诊断绩效的影响.
- 调查个人成本效益考虑如何影响偏见的诊断决策.
主要方法:
- 使用线性代数进行序列诊断测试的操纵测试矩阵.
- 计算的联合测试特征和使用的决策树和接收器操作特征 (ROC) 曲线.
- 确定测试特征,最大限度地提高对偏见和公正诊断人员的预期效用.
主要成果:
- 偏见诊断者受自身理解的限制,无法诊断超出他们的认知范围.
- 既有偏见和无偏见的诊断师都根据他们独特的成本效益估计来调整测试特征.
- 每个诊断师都认为对方的选择是对现实的反转.
结论:
- 人类测试者受到他们现有的知识和理解的限制.
- 判断受到预先设想的实用性观念的影响,导致测试者"知道他们想知道的东西".
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