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Medical Decision Making as a Group Choice Process: Consensual Dynamics in Fuzzy Diagnosis

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Fuzziness and Medicine: Philosophical Reflections and Application Systems in Health Care

Part of the book series: Studies in Fuzziness and Soft Computing ((STUDFUZZ,volume 302))

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Abstract

In this paper we present an approach to medical diagnosis based on the collective choice paradigm introduced in the middle of 20th century by Kenneth Arrow. Starting from a GDSS architecture introduced to support collaborative medical decision making we focus on the representation of the consensual dynamics based on the minimization of a cost function and aiming at selecting the most agreeable diagnosis profile. The model is based on a set of individual fuzzy preference relations and combines a soft measure of collective dissensus with an inertial mechanism of opinion changing aversion.

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References

  1. Arrow, K.J.: Social Choice and Individual Values. Cowles Foundation and Wiley, New York (1951)

    MATH  Google Scholar 

  2. Ben-Arieh, D., Chen, Z.: Linguistic Labels Aggregation and Consensus Measures for utocratic Decision Making Using Group Recommendations. IEEE Transactions on Systems, Man, and Cybernetics, Part A 36(3), 258–268 (2006)

    Article  Google Scholar 

  3. de Borda, J.C.: Mémoire sur les élections au scrutin. Histoire de l’Académie Royale des Sciences (1781)

    Google Scholar 

  4. Cabrerizo, F.J., Alonso, S., Herrera-Viedma, E.: A Consensus Model for Group Decision Making Problems with Unbalanced Fuzzy Linguistic Information. International Journal of Information Technology and Decision Making 8(1), 109–131 (2009)

    Article  MATH  Google Scholar 

  5. Carlsson, C., Ehrenberg, D., Eklund, P., Fedrizzi, M., Gustafsson, P., Lindholm, P., Merkuryeva, G., Riissanen, T., Ventre, A.: Consensus in Distributed Soft Environments. European Journal of Operational Research 61, 165–185 (1992)

    Article  Google Scholar 

  6. Condorcet, M., de Caritat, J.A.N., Marquis de: Essai sur l’Application de l’Analyse à la Probabilitié des Décisions rendues à la pluralité des voix. L’Imprimerie Royale, Parigi (1785)

    Google Scholar 

  7. DeGroot, M.H.: Reaching a Consensus. Journal of the American Statistical Association 69, 118–121 (1974)

    Article  MATH  Google Scholar 

  8. DeSanctis, G., Brent Gallupe, R.: A Foundation for the Study of Group Decision Support Systems. Management Science 33(5), 589–609 (1987)

    Article  Google Scholar 

  9. Fedrizzi, M., Kacprzyk, J., Zadrozny, S.: An Interactive Multi-user Decision Support System for Consensus Reaching Processes Using Fuzzy Logic with Linguistic Quantifiers. Decision Support Systems 4, 313–327 (1988)

    Article  Google Scholar 

  10. Fedrizzi, M., Fedrizzi, M., Marques Pereira, R.A.: Soft Consensus and Network Dynamics in Group Decision Making. International Journal of intelligent Systems 14, 63–77 (1999)

    Article  MATH  Google Scholar 

  11. Fedrizzi, M., Fedrizzi, M., Marques Pereira, R.A.: Consensus Modelling in Group Decision Making: a Dynamical Approach Based on Fuzzy Preferences. New Mathematics and Natural Computation 3(2), 219–237 (2007)

    Article  MathSciNet  MATH  Google Scholar 

  12. Fedrizzi, M., Fedrizzi, M., Marques Pereira, R.A., Brunelli, M.: The Dynamics of Consensus in Group Decision Making: Investigating the Pairwise Interactions Between Fuzzy Preferences. In: Greco, S., Pereira, M., Ricardo, A., Squillante, M., Yager, R.R., Kacprzyk, J. (eds.) Preferences and Decisions: Models and Applications, pp. 159–182. Springer, Heidelberg (2010)

    Chapter  Google Scholar 

  13. Fishburn, P.C.: The Theory of Social Choice. Princeton University Press, Princeton (1973)

    MATH  Google Scholar 

  14. Fishburn, P.C.: Interprofile Conditions and Impossibility. Fundamentals of Pure and Applied Economics, vol. 18. Harwood Academic Publishers, London (1987)

    Google Scholar 

  15. French, S.: Consensus of Opinion. European Journal of Operational Research 7(4), 332–346 (1981)

    Article  MathSciNet  MATH  Google Scholar 

  16. Herrera, F., Herrera-Viedma, E., Verdegay, J.L.: A Model of Consensus in Group Decision Making under Linguistic Assessments. Fuzzy Sets and Systems 78, 73–88 (1996)

    Article  MathSciNet  Google Scholar 

  17. Herrera-Viedma, E., Martinez, L., Mata, F., Chiclana, F.: A Consensus Support System Model for Group Decision Making Problems with Multigranular Linguistic Preference Relations. IEEE Transactions on Fuzzy Systems 13(5), 644–658 (2005)

    Article  Google Scholar 

  18. Kacprzyk, J., Fedrizzi, M.: A “Soft” Measure of Consensus in the Setting of Partial (Fuzzy) Preferences. European Journal of Operational Research 34, 316–325 (1988)

    Article  MathSciNet  Google Scholar 

  19. Kacprzyk, J., Nurmi, H., Fedrizzi, M. (eds.): Consensus Under Fuzziness. International Series in Intelligent Technologies. Kluwer Academic Press, Dordrecht (1997)

    MATH  Google Scholar 

  20. Kane, B., Luz, S.: Achieving Diagnosis by Consensus. Computer Supported Cooperative Work 18(4), 357–392 (2009)

    Article  Google Scholar 

  21. Kelly, J.S.: Arrow Impossibility Theorems. Academic Press, New York (1978)

    MATH  Google Scholar 

  22. Lehrer, K., Wagner, C.: Rational Consensus in Science and Society. Reidel Publishing Company, Dordrecht (1981)

    Book  MATH  Google Scholar 

  23. Nurmi, H.: Voting Procedures under Uncertainty. Springer, Heidelberg (2002)

    Book  MATH  Google Scholar 

  24. Rao, G.R., Turoff, M.: A Hypermedia-based Group Decision Support System to Support Collaborative Medical Decision-making. Decision Support Systems 30(2), 187–216 (2000)

    Article  Google Scholar 

  25. Sadegh-Zadeh, K.: Fundamentals of Clinical Methodology: 4. Diagnosis. Artificial Intelligence in Medicine 20(3), 227–241 (2000)

    Article  Google Scholar 

  26. Seising, R.: From Vagueness in Medical Thought to the Foundations of Fuzzy Reasoning in Medical Diagnosis. Artificial Intelligence in Medicine 38(3), 237–256 (2006)

    Article  Google Scholar 

  27. Sen, A.: Choice, Welfare and Measurement. Basil Blackwell, Oxford (1982)

    MATH  Google Scholar 

  28. Zadeh, L.A.: The concept of a linguistic variable and its application to approximate reasoning I. Information Sciences 8(3), 199–249 (1975)

    Article  MathSciNet  MATH  Google Scholar 

  29. Zadeh, L.A.: The concept of a linguistic variable and its application to approximate reasoning II. Information Sciences 8(4), 301–357 (1975)

    Article  MathSciNet  MATH  Google Scholar 

  30. Zadeh, L.A.: The concept of a linguistic variable and its application to approximate reasoning III. Information Sciences 9(1), 43–80 (1975)

    Article  MathSciNet  MATH  Google Scholar 

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Authors and Affiliations

  1. Department of Computer and Management Sciences, University of Trento, Trento, Italy

    Silvia Bortot & Mario Fedrizzi

Authors
  1. Silvia Bortot
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  2. Mario Fedrizzi
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Editors and Affiliations

  1. Edificio de Investigación, European Centre for Soft Computing, C Gonzalo Gutiérrez Quirós S/N, Mieres (Asturias), 33600, Spain

    Rudolf Seising

  2. , Department of Matematics and Informatics, Università di Palermo, Via Archirafi, 34, Palermo, 90123, Italy

    Marco Elio Tabacchi

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Bortot, S., Fedrizzi, M. (2013). Medical Decision Making as a Group Choice Process: Consensual Dynamics in Fuzzy Diagnosis. In: Seising, R., Tabacchi, M. (eds) Fuzziness and Medicine: Philosophical Reflections and Application Systems in Health Care. Studies in Fuzziness and Soft Computing, vol 302. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36527-0_21

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  • DOI: https://doi.org/10.1007/978-3-642-36527-0_21

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-36526-3

  • Online ISBN: 978-3-642-36527-0

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