Concept of Reference Diagnostics as the Foundation for Developing Diagnostic Algorithm to Support Doctor’s Decision-Making
https://doi.org/10.47619/2713-2617.zm.2023.v.4i3;72-86
Abstract
The article analyzes current conceptual approaches to developing algorithms for supporting doctor's decision-making process. The need for application of sorting algorithms to generate decision-supporting algorithms is explained. We suggest a concept of reference diagnostics based on systematization of topical and nosological series that determine the direction and sequence of diagnostic process. According to the concept, each possible pathological region localization and each disease are presented as a set of positive and negative reference signs. In order to demonstrate the sequence of diagnostic algorithm elaboration, a specific neurological pathology is used as an example. The prospects for the practical application of reference diagnostics in clinical medicine are defined.
About the Authors
M. A. Yakushin
Semashko National Research Institute of Public Health;
Vladimirskij Moscow Regional Research and Clinical Institute
Russian Federation
Russian Federation
Mikhail A. Yakushin – Doctor of Medical Sciences, Associate Professor, Chief Specialist in Geriatrics of the Ministry of Health of the Moscow Region, Head of the Geriatrics Course, Professor of the Department of General Medical Practice (Family Medicine);
Leading Researcher
1, str., 12, Vorontsovo Pole, Moscow, 105064;
1, corp., 61/2, Shchepkina ul., Moscow, 129110
A. V. Vorobeva
Semashko National Research Institute of Public Health
Russian Federation
Russian Federation
Anna V. Vorobeva – Graduate Student
1, str., 12, Vorontsovo Pole, Moscow, 105064
M. D. Vasiliev
Semashko National Research Institute of Public Health
Russian Federation
Russian Federation
Mikhail D. Vasiliev – Candidate of Medical Sciences, Researcher
1, str., 12, Vorontsovo Pole, Moscow, 105064
A. P. Kudrin
Semashko National Research Institute of Public Health
Russian Federation
Russian Federation
Alexey P. Kudrin – Master’s Student
1, str., 12, Vorontsovo Pole, Moscow, 105064
T. I. Yakushina
Vladimirskij Moscow Regional Research and Clinical Institute
Russian Federation
Russian Federation
Tatyana I. Yakushina – Doctor of Medical Sciences, Senior Researcher of the Neurological Department, Professor of the Department of Neurology
1, corp., 61/2, Shchepkina ul., Moscow, 129110
O. Yu. Arseenkova
Semashko National Research Institute of Public Health
Russian Federation
Russian Federation
Olga Yu. Arseenkova – Candidate of Medical Sciences, Senior Researcher
1, str., 12, Vorontsovo Pole, Moscow, 105064
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Review
For citations:
Yakushin M.A., Vorobeva A.V., Vasiliev M.D., Kudrin A.P., Yakushina T.I., Arseenkova O.Yu. Concept of Reference Diagnostics as the Foundation for Developing Diagnostic Algorithm to Support Doctor’s Decision-Making. City Healthcare. 2023;4(3):72-86. (In Russ.) https://doi.org/10.47619/2713-2617.zm.2023.v.4i3;72-86
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