Clinical judgment analysis

John R. Kirwan, D. Mark Chaput De Saintonge*, C. R.B. Joyce

*Corresponding author for this work

    Research output: Contribution to journalArticle (Academic Journal)peer-review

    56 Citations (Scopus)

    Abstract

    Judgment is central to the practice of medicine and occurs between making clinical observations and taking clinical decisions. Clinical judgment analysis has developed as a method of making statistically firm models of doctors' judgments. Computed models reveal the differential importance attached to items of clinical, social, or other data which are determinants of clinical decisions. These models can both reveal the causes of conflicts of judgment and may help resolve them in a way that unaided discussion cannot. Revealing experts' models to students speeds learning of diagnostic skills. Clinical judgment analysis offers a method of probing the judgments not just of students and doctors but also of patients who have shown systematic differences in their perceptions of risk and benefit. The power and relevance of clinical trials can be improved by the consistent application of judgment policies generated from both the trialists and those who will use their results.

    Original languageEnglish
    Pages (from-to)935-949
    Number of pages15
    JournalQJM
    Volume76
    Issue number3
    DOIs
    Publication statusPublished - 1 Jan 1990

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