Perspectives on Clinical Decision Making

Alan R. Aronson, MD
JAMA. 1987;258(9):1244-1245. doi:10.1001/jama.1987.03400090128050.
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Perspectives on Clinical Decision Making, by Suzanne B. Knoebel, MD, is an excellent introductory text on the subject of decision analysis.

In this era of cost containment, diagnosis related groups, and quality and utilization controls, the discipline of decision analysis and probability theory as related to medicine is of major importance if we are to be able to communicate quantitatively among ourselves and with others who are responsible for the provision of health care in our country.

The author uses a concise literary style in giving her readers a conceptualization of what decision analysis is and how it relates to diagnosis, alternative therapies, and cost-effectiveness. The book is designed for the physician who wishes to be conversant in the subject of decision analysis. It is not an in-depth mathematical treatise using flow charts, decision trees, or Boolean algebra. It does allow the reader to understand probability and decision making and


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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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