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首页> 外文期刊>BMC Medical Informatics and Decision Making >Collective intelligence in medical decision-making: a systematic scoping review
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Collective intelligence in medical decision-making: a systematic scoping review

机译：医疗决策中的集体智慧：系统的范围界定审查

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Collective intelligence, facilitated by information technology or manual techniques, refers to the collective insight of groups working on a task and has the potential to generate more accurate information or decisions than individuals can make alone. This concept is gaining traction in healthcare and has potential in enhancing diagnostic accuracy. We aim to characterize the current state of research with respect to collective intelligence in medical decision-making and describe a framework for diverse studies in this topic. For this systematic scoping review, we conducted a systematic search for published literature using PubMed, Embase, Web of Science, and CINAHL on August 8, 2017. We included studies that combined the insights of two or more medical experts to make decisions related to patient care. Studies that examined medical decisions such as diagnosis, treatment, and management in the context of an actual or theoretical patient case were included. We include studies of complex medical decision-making rather than identification of a visual finding, as in radiology or pathology. We differentiate between medical decisions, in which synthesis of multiple types of information is required over time, and studies of radiological scans or pathological specimens, in which objective identification of a visual finding is performed. Two reviewers performed article screening, data extraction, and final inclusion for analysis. Of 3303 original articles, 15 were included. Each study examined the medical decisions of two or more individuals; however, studies were heterogeneous in their methods and outcomes. We present a framework to characterize these diverse studies, and future investigations, based on how they operationalize collective intelligence for medical decision-making: 1) how the initial decision task was completed (group vs. individual), 2) how opinions were synthesized (information technology vs. manual vs. in-person), and 3) the availability of collective intelligence to participants. Collective intelligence in medical decision-making is gaining popularity to advance medical decision-making and holds promise to improve patient outcomes. However, heterogeneous methods and outcomes make it difficult to assess the utility of collective intelligence approaches across settings and studies. A better understanding of collective intelligence and its applications to medicine may improve medical decision-making.
机译：借助信息技术或手动技术促进的集体智慧，是指从事某项任务的小组的集体洞察力，并且有可能产生比个人单独做出的更为准确的信息或决策。该概念在医疗保健领域越来越受欢迎，并且在提高诊断准确性方面具有潜力。我们旨在描述医学决策中有关集体智慧的研究现状，并描述该主题下各种研究的框架。对于此系统的范围界定审查，我们于2017年8月8日使用PubMed，Embase，Web of Science和CINAHL对发表的文献进行了系统的搜索。我们纳入的研究结合了两位或更多医学专家的见解，做出与患者有关的决策关心。纳入了在实际或理论患者病例中检查医学决策（例如诊断，治疗和管理）的研究。我们包括对复杂医学决策的研究，而不是像放射学或病理学那样识别视觉发现。我们区分医学决策和放射学扫描或病理标本，在医学决策中需要随着时间的流逝来综合多种信息，在医学决策中要对目视发现进行客观识别。两名审稿人进行了文章筛选，数据提取和最终纳入分析。在3303篇原创文章中，包括15篇。每项研究均检查了两个或更多个人的医疗决策;然而，研究的方法和结果是不同的。我们将基于一个框架来描述这些多样化的研究和未来的调查，基于它们如何将集体智慧运用于医疗决策：1）最初的决策任务是如何完成的（小组与个人），2）意见如何合成（信息技术，手动，个人），以及3）参与者可以使用集体智慧。医疗决策中的集体智慧正日益普及以推进医疗决策，并有望改善患者的预后。但是，不同的方法和结果使得难以评估各种背景和研究中集体智慧方法的效用。更好地了解集体智慧及其在医学中的应用可能会改善医疗决策。

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