Document Detail

Everyday diagnostics--a critique of the Bayesian model.
MedLine Citation:
PMID:  1865835     Owner:  NLM     Status:  MEDLINE    
In recent years Bayesian probability calculus and Bayesian decision procedures have been recommended for use in clinical medicine. The author investigate everyday diagnostics asking if it takes place in a reality that meets the conditions of the method. He finds it does not. Above all we lack that strict randomness essential for probability calculus and, further, evaluation of utility easily becomes disputable, not to say unethical. The measures constructed for neutralizing these discrepancies between model and reality demand great resources. Yet, they are not enough to permit the clinician to refrain from supervising the consequences of his decisions as carefully as he has always done. A different method, a different model is wanted.
N E Jonson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Medical hypotheses     Volume:  34     ISSN:  0306-9877     ISO Abbreviation:  Med. Hypotheses     Publication Date:  1991 Apr 
Date Detail:
Created Date:  1991-09-12     Completed Date:  1991-09-12     Revised Date:  2008-08-15    
Medline Journal Info:
Nlm Unique ID:  7505668     Medline TA:  Med Hypotheses     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  289-95     Citation Subset:  IM    
Surgical Department, Central Hospital, Kristianstad, Sweden.
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MeSH Terms
Bayes Theorem*
Decision Making, Computer-Assisted*
Decision Theory
Models, Theoretical
Predictive Value of Tests
Sensitivity and Specificity

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