临床决策中的:通过决策理论的视角进行叙事审查
Cory Rohlfsen1, Kevin Shannon2, Andrew S Parsons3
1Department of Medicine, University of Nebraska Medical Center, Omaha, USA. cory.rohlfsen@unmc.edu.
Journal of general internal medicine
|September 19, 2025
概括
,一种不确定性的度量,为临床决策提供了一种新的方法. 虽然在瘤学等领域有前途,但其转化为实际的临床工具需要进一步开发和验证.
科学领域:
- 信息理论 信息理论
- 决策科学 决策科学 决策科学
- 临床信息学 临床信息学
背景情况:
- 临床决策从根本上依赖于在不确定性中进行导航.
- 信息理论中的一个概念,提供了一个数学框架来量化不确定性.
- 尽管具有潜力,但的复杂性阻碍了其临床采用.
研究的目的:
- 审查过去15年来在临床决策中的应用.
- 分析如何被用来量化和传达医疗保健中的不确定性.
- 确定临床推理中的趋势,挑战和未来方向.
主要方法:
- 叙事评论坚持香农对的定义.
- 基于决策理论的分析,评估状态,行为,后果和偏好.
- 评估了20项在临床环境中纳入的研究.
主要成果:
- 主要用于量化不确定性,而不是直接指导临床行动.
- 瘤学和放射学开创了用于诊断准确性和风险评估的应用.
- 神经学和血液学中的应用是探索性的;没有一项研究创建了一个可操作的决策支持框架.
结论:
- 证明了作为临床推理和不确定性管理的定量工具的价值.
- 需要进一步的前性验证来确定其临床实用性.
- 需要开发集成的,基于证据的决策支持工具,其中包含.
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