Sequential Diagnosis By Computer

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Sequential Diagnosis By Computer
George Anthony Gorry
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On the other hand, these tests are not without some costs in terms of patient discomfort, time of skilled persons, money, etc. Thus there is a conflicting tendency to hold the number of diagnostic tests to a minimum.
The doctor resolves these conflicting tendencies by performing sequential diagnosis . Based on his current view of the problem, he evaluates the choices available to him. He can cease testing and make a final diagnosis. In doing so, he incurs the risks associated with possible - 6
...- misdiagnoses. On the other hand, he can select a test to perform in the hopes of gaining additional information upon which to base his diagnosis. In this case, he inciirs the cost of the test selected. When the results of the test become available and are incorporated into his view of the^ problem, he is again faced with this same decision problem. Thus, in reaching a diagnosis, a physician solves a sequence of similar decision problems. At each stage in the diagnosis, he balances the costs of further testing against the expected reduction in the risk of misdiagnosis which the test results will permit.

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