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Medical Decision Making, by Harold C. Sox, Michael C. Higgins, Douglas K. Owens
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Medical Decision Making provides clinicians with a powerful framework for helping patients make decisions that increase the likelihood that they will have the outcomes that are most consistent with their preferences.
This new edition provides a thorough understanding of the key decision making infrastructure of clinical practice and explains the principles of medical decision making both for individual patients and the wider health care arena. It shows how to make the best clinical decisions based on the available evidence and how to use clinical guidelines and decision support systems in electronic medical records to shape practice guidelines and policies.
Medical Decision Making is a valuable resource for all experienced and learning clinicians who wish to fully understand and apply decision modelling, enhance their practice and improve patient outcomes.
“There is little doubt that in the future many clinical analyses will be based on the methods described in Medical Decision Making, and the book provides a basis for a critical appraisal of such policies.” - Jerome P. Kassirer M.D., Distinguished Professor, Tufts University School of Medicine, US and Visiting Professor, Stanford Medical School, US
- Sales Rank: #982276 in eBooks
- Published on: 2013-05-08
- Released on: 2013-05-08
- Format: Kindle eBook
Review
Every physician is confronted daily with decision making. This book teaches the scientific principles of making decisions in clinical practice. For academic teachers. (Pediatric Endocrinology Reviews, 1 September 2014)
From the Back Cover
Medical Decision Making provides clinicians with a powerful framework for helping patients make decisions that increase the likelihood that they will have the outcomes that are most consistent with their preferences.
This new edition provides a thorough understanding of the key decision making infrastructure of clinical practice and explains the principles of medical decision making both for individual patients and the wider health care arena. It shows how to make the best clinical decisions based on the available evidence and how to use clinical guidelines and decision support systems in electronic medical records to shape practice guidelines and policies.
Medical Decision Making is a valuable resource for all experienced and learning clinicians who wish to fully understand and apply decision modelling, enhance their practice and improve patient outcomes.
“There is little doubt that in the future many clinical analyses will be based on the methods described in Medical Decision Making, and the book provides a basis for a critical appraisal of such policies.” - Jerome P. Kassirer M.D., Distinguished Professor, Tufts University School of Medicine, US and Visiting Professor, Stanford Medical School, US
About the Author
Harold C. Sox Geisel School of Medicine at Dartmouth, Hanover, New Hampshire
Michael C. Higgins Stanford University, Stanford, California
Douglas K. Owens Department of Veterans Affairs Palo Alto Health Care System, Palo Alto, California; Stanford University, Stanford, California
Most helpful customer reviews
1 of 1 people found the following review helpful.
A great insight into what doctors are doing as we make decisions
By Dr. Peter Davies
This is an excellent book. It will help practising doctors and medical students to come to understand what they are doing in their work with greater clarity and depth. It will also help statisticians and others who study and try to understand, manage and guide how doctors think and act to achieve this more successfully, and in a way that that concepts such as Knowledge Translation in Health Care: Moving from Evidence to Practicemiss completely.
In medicine we basically get two things wrong with our work- the words and the numbers. We get our communication wrong, partly because we don't actually understand the numerical substructure of our medical thinking. We often talk about vaguely numerical ideas such as "some" or "mostly" or "usually" and we often don't really think out what exact numbers we are talking about. We can confuse ourselves at many levels- from individual consultations to the maths involved in high powered academic research. Wherever the statisticians look in medicine (and in many other fields) they can have great fun finding basic mathemetical errors in our thought processes.
This book is written by experienced authors who approach their work from the point of view of practising doctors who are answering questions about and to their patients. They are looking at basic diagnostic processes that actual doctors use, and their strengths and weaknesses. They show well how doctors operate basically as Bayesian thinkers, adjusting their prior estimates of the probability and improbablity of diagnoses as new information becomes available. They help us to do this process consciously and well, and suggest refinements to our well honed pattern recognition schemas- ways of checking their accuracy, cross referencing, looking for disconfirmation, when our accuracy is sufficient for action and when it is dangerously askew. As a medical student you'd read this as an introduction. As a medical junior doctor (resident) you'd read it and recognise the steps being used, as a senior doctor you'd read it and realise what exactly you are doing in your work.
The maths behind our diagnostic thinking is well described. What becomes obvious is how many complex calculations doctors make in a scenario- and we do this not in a mathematical way but by integrating inputs from amny sources- the patient, experience, reviews, guidelines etc. We are actually using many mathematical structures unconsciously. When you read this book you become more conscious of what you are doing and achieving each day. In many ways as humans we cannot not be mathematical or philosophical- when you stop and really think about how you are doing an activity you by definition are using a mathematical and philosophical structure- and you can only deny this...by another mathematical or philosphical gambit.
As a doctor this is a great book to help you become clearer about your work and thought processes. it goes alongside other medical classics that are about how we go about our work rather than the work itself. I'd rate it highly- alongside classics such as Clinical Epidemiology: How to Do Clinical Practice Research (CLINICAL EPIDEMIOLOGY (SACKETT)) and Patient Safety and The Human Contribution: Unsafe Acts, Accidents and Heroic Recoveries
0 of 0 people found the following review helpful.
Top Drawer!
By Uncle Steve
The BEST introduction to the field. I have been using it my teaching for years. Clear and concise. Well presented.
0 of 0 people found the following review helpful.
Not very user-friendly
By guilledvm
Good first few chapters, but it gets more technical than I'd like (for students) further on.
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