title: On the value of clinical information. Is there a bridge between quantum theory and medical diagnosis?
abstract: This paper discusses the problems in assigning a precise value to an item (or group of items) of clinical information. Historical viewpoints are reviewed; the paper illustrates how determinist descriptive thinking has been overtaken by concepts of uncertainty and probability. Four equations are proposed outlining the factors which affect the value of clinical information. The validation of these equations and their implications is discussed. Parallels are drawn between the situation in theoretical physics a century ago and medical diagnostics today; and the central theme of uncertainty in both is emphasised. Finally, the need for further radical thinking is stressed.
authors.affiliation: Clinical Information Science Unit, University of Leeds, UK.
authors.forename: F T
authors.initials: FT
authors.lastname: de Dombal
mesh_terms: D015510:Clinical Medicine; D003661:Decision Support Techniques; D003933:Diagnosis; D003936:Diagnosis, Computer-Assisted; D019317:Evidence-Based Medicine; D006801:Humans; D011336:Probability; D011789:Quantum Theory; D015203:Reproducibility of Results