Medical Decision Making — The Patient

  • C. Wastell
Conference paper
Part of the Lecture Notes in Medical Informatics book series (LNMED, volume 28)

Abstract

Many Clinicians view with enthusiasm the development of clinical decision-support systems. The three possible areas of application considered by Sterling et al (1967) quoted but not expanded upon by Spiegelhalter and Knill-Jones (1984), were, ‘the initial structuring of a clinical problem with little prior information, differential within a restricted clinical problem area and automatic interpretation of test results’. There is however another area that engenders considerable difficulty for the Clinician, and this is in applying the results of the diagnostic process to the decision made by the patient as to the treatment to be received.

Keywords

Perforation Cimetidine Pentagastrin 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Bardhan, K.D., Cimetidine in duodenal ulceration in Cimetidine eds. C. Wastell and P. Lance. Churchill Livingstone, Edinburgh, 1978. Ch. 3.Google Scholar
  2. Borland, W., Maintenance treatment in Cimetidine. eds. C. Wastell & P. Lance. Churchill Livingstone, Edinburgh. 1978. P. 39.Google Scholar
  3. Pulvertaft, C.N., 1968. Comments on the incidence and natural history of gastric and duodenal ulcer. Post grad Med J. 44. 597.CrossRefGoogle Scholar
  4. Spiegelhalter, D.J and Knill-Jones, R.P. 1934. Stastitical and knowledge- based approaches to Clinical decision-support systems with an application in Gastroenterology. J.R. Statistic Soc. A (1984) 147, Part I. pp 35–77.Google Scholar
  5. Sterling, T.D., Hickson, J. and Pollack, S.U. 1966. Is medical diagnosis a computer problem? J. Amer. Med Ass. 198, 281–286. 3 areas of applicability: 1. Initial structering of a clinical problem with little prior information. 2. Differential diagnosis within a restricted clinical area. 3. Automatic interpretation of test results (e. g. BOG ).Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1986

Authors and Affiliations

  • C. Wastell
    • 1
  1. 1.Academic Surgical UnitSt. Stephen’s HospitalLondonEngland

Personalised recommendations