To test or not to test: a clinical dilemma.

D B Resnik
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引用次数: 8

Abstract

This paper argues that clinicians are sometimes justified in not testing diagnoses or in not subjecting them to a full battery of tests. In deciding whether to conduct a test, a clinician may consider and weigh several different factors, including her confidence in her initial diagnosis, the specificity and sensitivity of the test, the consequences of making a false diagnosis, the pain, harm, and inconvenience caused by the test, and the costs of the test to the patient and society. This view suggests that diagnoses are fundamentally different from scientific hypotheses in that they are not always subjected to the same evidential standards.

测试或不测试:一个临床困境。
这篇论文认为,临床医生有时不测试诊断或不让他们接受全套测试是合理的。在决定是否进行测试时,临床医生可能会考虑和权衡几个不同的因素,包括她对初步诊断的信心、测试的特异性和敏感性、做出错误诊断的后果、测试造成的痛苦、伤害和不便,以及测试对患者和社会的成本。这一观点表明,诊断与科学假设根本不同,因为它们并不总是遵循相同的证据标准。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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