论文标题
在复杂的决策情况下的决策支持
Decision Support in the Context of a Complex Decision Situation
论文作者
论文摘要
临床决策支持工具的目的是减少临床决策的复杂性。但是，当决策支持工具的实施不足时，它们实际上可能会使医生感到困惑并使临床护理复杂化。本文认为，决策支持工具的信息通常是从目标决策的临床背景中删除的。医师在很大程度上取决于临床环境来处理其日常决策的复杂性。临床环境使他们能够考虑所有模棱两可的信息和患者偏好。在没有其上下文的情况下，向医生提供分析信息的决策支持工具可能会使医生的决策过程变得复杂。医师和技术的联合力量可能会产生比他们俩都更好的决策：毕竟，他们确实有不同的方法来应对决定的复杂性，因此是互补的。因此，决策支持的未来挑战不仅存在于基础模型和算法的预测价值的优化，而且同样涉及信息的有效交流及其与医生的背景。
The aim of a clinical decision support tool is to reduce the complexity of clinical decisions. However, when decision support tools are poorly implemented they may actually confuse physicians and complicate clinical care. This paper argues that information from decision support tools is often removed from the clinical context of the targeted decisions. Physicians largely depend on clinical context to handle the complexity of their day-to-day decisions. Clinical context enables them to take into account all ambiguous information and patient preferences. Decision support tools that provide analytic information to physicians, without its context, may then complicate the decision process of physicians. It is likely that the joint forces of physicians and technology will produce better decisions than either of them exclusively: after all, they do have different ways of dealing with the complexity of a decision and are thus complementary. Therefore, the future challenges of decision support do not only reside in the optimization of the predictive value of the underlying models and algorithms, but equally in the effective communication of information and its context to doctors.
