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Design and Thought for Establishing Decision Trees Based on Clinical Practice Guidelines
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摘要: 临床实践指南可以促进临床诊疗规范化，提高医疗服务质量。但是，指南在传播与实施过程中可能存在多种障碍因素，导致其对临床实践的规范性及患者结局的有效性并未完全体现。主要障碍在于非结构化的文本指南不便于临床医生查阅和使用，阻碍了指南在临床实践中的应用。因此，本文通过介绍决策树模型，阐述将文本化的指南转化为结构化决策树的方法，提出基于临床实践指南设计决策树的优点、难点及解决策略，为推动文本化临床实践指南的转化提供参考。Abstract: Clinical practice guidelines can facilitate the standardization of the diagnosis and treatment and improve health care quality. However, there are barriers to guideline dissemination and implementation, thus impeding the standardization of clinical practice and improvement of patient outcomes. One major barrier is that it is difficult for doctors to read and understand the unstructured text-based guidelines, and apply them in real clinical practice. This paper introduces the design of decision trees based on clinical practice guidelines, and the advantages, challenges and solutions of this approach, with the hope of providing references for promoting the transformation of textual clinical practice guidelines.
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Key words:
- clinical practice guideline /
- implementation /
- decision tree
作者贡献：申泉负责系统查阅文献资源、撰写初稿；罗旭飞、石安娅、雷若冰、吕萌、侯天春负责查阅部分文献、修改初稿；张姝、刘恩梅、李秋负责设计文章结构、修改初稿；陈耀龙负责论文选题、结构设计及修订。利益冲突：所有作者均声明不存在利益冲突 -
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