决策导刊 Pub Date : 1998-04-01 DOI: 10.1177/0272989X9801800204

A. Pausjenssen, A. Detsky

引用次数: 7

You can lead a horse to water--improving physicians' knowledge of probabilities may not affect their decisions. 你可以把马牵到水边——提高医生对概率的认识可能不会影响他们的决策。

决策导刊 Pub Date : 1995-01-01 DOI: 10.1177/0272989X9501500211

R. Poses, R. Cebul, R. Wigton

{"title":"You can lead a horse to water--improving physicians' knowledge of probabilities may not affect their decisions.","authors":"R. Poses, R. Cebul, R. Wigton","doi":"10.1177/0272989X9501500211","DOIUrl":"https://doi.org/10.1177/0272989X9501500211","url":null,"abstract":"OBJECTIVES To determine whether improving physicians' judgments of the probability of streptococcal pharyngitis for patients with sore throats would affect their use of antibiotics and affect the variation in such use. DESIGN Post-hoc retrospective analysis of data previously collected as part of a controlled trial. SETTINGS University student health services in Pennsylvania and Nebraska. PATIENTS Sequential patients with pharyngitis seen before and after the time clinicians received either an experimental educational intervention designed to improve probabilistic diagnostic judgments (at the Pennsylvania site) or a control intervention, a standard lecture (at the Nebraska site). The clinician-subjects were the primary case physicians practicing at either site. MEASUREMENTS Clinical variables prospectively recorded by the clinicians, probability assessments, and treatment decisions. RESULTS At the experimental site, despite marked decreases in clinicians' overestimations of disease probability after the intervention, the proportion of patients prescribed antibiotics showed a trend toward increasing: 100/290 (34.5%) pre-intervention, 90/225 (40%) post-intervention. The intervention did not decrease practice variation between individual doctors. Univariable and multivariable analyses showed no major change in the relationships between clinical variables and treatment decisions after the intervention. At the control site there was no major change in probability judgments or treatment decisions after the intervention. CONCLUSIONS Teaching physicians to make better judgments of disease probability may not alter their treatment decisions.","PeriodicalId":63524,"journal":{"name":"决策导刊","volume":"48 1","pages":"65-75"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88708995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 64

Regret. 遗憾。

决策导刊 Pub Date : 1988-01-01 DOI: 10.2307/j.ctvh9vwn0.19

G. Williams, A. Suchman, H. Herrera

引用次数: 0

Knowledge acquisition and verification tools for medical expert systems. 医学专家系统的知识获取和验证工具。

决策导刊 Pub Date : 1987-01-01 DOI: 10.1007/978-1-4613-8777-0_11

N. Mars, P. Miller

引用次数: 13

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