医学决策制定，第三版

English | 2024 | ISBN: 111962780X | 365 pages | True PDF EPUB | 26.45 MB

MEDICAL DECISION MAKING

Detailed resource showing how to best make medical decisions while incorporating clinical practice guidelines and decision support systems

Sir William Osler, a legendary physician of an earlier era, once said, “Medicine is a science of uncertainty and an art of probability.” In Osler’s day, and now, decisions about treatment often cannot wait until the diagnosis is certain. Medical Decision Making is about how to make the best possible decision given that uncertainty. The book shows how to tailor decisions under uncertainty to achieve the best outcome based on published evidence, features of a patient’s illness, and the patient’s preferences.

Medical Decision Making describes a powerful framework for helping clinicians and their patients reach decisions that lead to outcomes that the patient prefers. That framework contains the key principles of patient-centered decision-making in clinical practice.

Since the first edition of Medical Decision Making in 1988, the authors have focused on explaining key concepts and illustrating them with clinical examples. For the Third Edition, every chapter has been revised and updated.

Written by four distinguished and highly qualified authors, Medical Decision Making includes information on

How to consider the possible causes of a patient’s illness and decide on the probability of the most important diagnoses. How to measure the accuracy of a diagnostic test. How to help patients express their concerns about the risks that they face and how an illness may affect their lives. How to describe uncertainty about how an illness may change over time. How to construct and analyze decision trees. How to identify the threshold for doing a test or starting treatment How to apply these concepts to the design of practice guidelines and medical policy making.

Medical Decision Making is a valuable resource for clinicians, medical trainees, and students of decision analysis who wish to fully understand and apply the principles of decision making to clinical practice.

医学决策制定 详细资源展示如何在临床实践指南和决策支持系统中融入，以最佳方式做出医疗决策。 曾在过去时代享有盛誉的医生威廉·奥斯勒曾说过：“医学是一门不确定性和概率的艺术。”无论是奥斯勒的时代还是现在，治疗决定往往不能等到诊断结果确定。《医学决策制定》探讨的是如何在不确定性的情况下作出最好可能的决定。这本书展示了如何根据已发表证据、患者的疾病特征以及患者偏好来定制决策。 《医学决策制定》描述了一个强大的框架，帮助临床医生和他们的患者做出能够达成患者所偏好结果的决定。这个框架包含了临床实践中患者为中心决策的核心原则。 自1988年第一版《医学决策制定》出版以来，作者们专注于解释关键概念并用临床案例加以说明。为了第三版，每章都进行了修订更新。 由四位杰出且资质优秀的作者撰写的《医学决策制定》，包括的信息有： 如何考虑患者疾病可能的原因，并决定最重要的诊断的概率； 如何测量诊断测试的准确性； 如何帮助患者表达他们面对的风险以及疾病的潜在影响； 如何描述对疾病随着时间推移变化的不确定性； 如何构造和分析决策树； 如何确定进行一项测试或开始治疗的标准阈值； 如何将这些概念应用于实践指南的设计和医疗政策制定。 《医学决策制定》是临床医生、医疗培训生及决策分析学生了解并应用决策原则的理想资源。

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