Computer Programs to Support Clinical Decision Making

doi:10.1001/jama.1987.03400010065029

Computer Programs to Support Clinical Decision Making

Edward H. Shortliffe, MD, PhD

From the Medical Computer Science Group of the Knowledge Systems Laboratory, Departments of Medicine and Computer Science, Stanford University School of Medicine, Stanford, Calif.

Abstract

Computer programs to assist with medical decision making have long been anticipated by physicians with both curiosity and concern. This article summarizes the current status of computer-based medical decision support, the goals of system developers, the reasons for slow progress since the field began almost 30 years ago, and the logistical and scientific challenges that lie ahead. It emphasizes in particular that decision-support programs are intended to serve as tools for trained practitioners who retain ultimate responsibility for determining diagnostic and therapeutic strategies.

(JAMA 1987;258:61-66)

Footnotes

Reprint requests to the Stanford University Medical Center, Room MSOB X-215, Departments of Medicine and Computer Science, Stanford, CA 94305-5479 (Dr Shortliffe).