The Use of Information in Clinical Problem-Solving

A Framework for Analysis

by Leonard G. Chesler, A. M. Hershdorfer, Thomas L. Lincoln

Download

Download eBook for Free

FormatFile SizeNotes
PDF file 1.6 MB

Use Adobe Acrobat Reader version 7.0 or higher for the best experience.

Purchase

Purchase Print Copy

 FormatList Price Price
Add to Cart Paperback42 pages $23.00 $18.40 20% Web Discount

Abstract

A systems-analysis framework for the organization of information in a biomedical communication network. Formal structures need to be developed to improve information handling in medicine. Tutorial constructs show relationships between present practice and medical information. Decisions under physician control are initial workup (history, examination, and lab reports), diagnosis, and therapy. Depending on the kind of information known, the physician may use supportive, patient-specific, or disease-specific therapy, or may adopt a multiple-problem policy. Each approach emphasizes a different aspect of clinical problem-solving. Further, any decision process will be subject to the factors of environment, time, uncertainty, goals, and constraints. The domination of each of these will vary the set of decisionmaking rules. Each set of variables has different dimensions. The observables may be considered as data per patient; the conceptual state variables, data per problem; the decision variable, time per problem; and control variables, data per time problem.

This report is part of the RAND Corporation paper series. The paper was a product of the RAND Corporation from 1948 to 2003 that captured speeches, memorials, and derivative research, usually prepared on authors' own time and meant to be the scholarly or scientific contribution of individual authors to their professional fields. Papers were less formal than reports and did not require rigorous peer review.

Permission is given to duplicate this electronic document for personal use only, as long as it is unaltered and complete. Copies may not be duplicated for commercial purposes. Unauthorized posting of RAND PDFs to a non-RAND Web site is prohibited. RAND PDFs are protected under copyright law. For information on reprint and linking permissions, please visit the RAND Permissions page.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.