Hi Arild, Another site is the MIT Group on Clinical Decision Making: [ http://medg.lcs.mit.edu/ ]. "... a research group dedicated to exploring and furthering the application of technology and artificial intelligence to clinical situations. Because of the vital and crucial nature of medical practice, and the need for accurate and timely information to support clinical decisions, the group is also focused on the gathering, availability, security and use of medical information throughout the human "life cycle" and beyond ..."
Unfortunately Patient decision-making receives less emphasis and studies seem to miss some fundamental factors (e.g., it is private) [ http://www.ahrq.gov/research/rtisumm.htm ] Regards! -Thomas Clark Arild Faxvaag wrote: > Hi all. > This is an important topic. Here are some references / pointers for > those who wish to read more: > > "Decision making in health and medicine. Integrating evidence and > values" Myriam Hunink and Paul Glasziou Cambridge university press > (ISBN 0 521 77029 7) > > Society for Medical Decision Making: http://www.smdm.org/ > > I also recommend journal articles written by Wimla L Patel (Colombia > university, New York), for instance: > http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=11418539 > > > (A primer on aspects of cognition for medical informatics) > > regards > arild Faxvaag > > P 22. apr. 2005 kl. 07.42 skrev Gerard Freriks: > > -1- Almost never a diagnosis is 100% certain. > -2- Almost always a test result has uncertainty attached to it > -3- Many times a conclusion is reached based on many uncertain and > conflicting facts > -4- Quite often a condition, a diagnosis, is assumed that gives > rise to a treatment. Not indicating that the patient is suffering > from this condition but using treatment as a test procedure. Doing > nothing is such a test procedure. > > Eric Wulff (from Danmark) published philisophical texts about > health care and these topics. > > gerard > > -- <private> -- > Gerard Freriks, arts > Huigsloterdijk 378 > 2158 LR Buitenkaag > The Netherlands > > +31 252 544896 > +31 654 792800 > On 20 Apr 2005, at 13:58, Thomas Beale wrote: > > I'm wondering if there is a meta-algorithm of some sort > lurking behind the scenes, which takes account of uncertainty > in a note, and also severity of non-discounted possibilities, > as a way of deciding what to do next. There is undoubtedly > published work on this... > > thoughts? > > - thomas beale > > -- > Arild Faxvaag > associate professor / rheumatologist > Adress / Office St.Olavs hospital: > Department of Rheumatology, St.Olavs hospital N-7006 Trondheim, Norway > Phone Dept of Rheumatology 47 7386 7263 > > Adress / Office NTNU > Norwegian center for electronic patient records research (NSEP) > Medisinsk teknisk forskningssenter > N-7489 Trondheim > > Cellphone: 47 9821 6825 > http://www.ntnu.no/~arildfa/ (home page NTNU) > http://www.usemed.com (weblog on e-medicine) > http://www.ehr.ntnu.no/e (Norwegian Centre for Electronic Health > Records Research) > - If you have any questions about using this list, please send a message to d.lloyd at openehr.org
