决策心理学对中医诊疗标准研究的启示

Enlightenment of the roles of psychology of decision-making in the study of diagnosis and treatment standard of traditional Chinese medicine

中医临床诊疗是一个主动的创造性的决策过程。临床实际诊疗过程存在大量不确定因素,中医诊疗标准的制定要充分考虑到实际临床过程的不确定性,增强而不是限制医者决策过程中的主动性与创造性,尤其不能限制决策创意的形成。决策学是一门研究科学决策的理论、原则、程序和方法的新兴综合性学科。为开拓中医诊疗标准研究的新视野,在数理统计学基础上引入决策心理学,建立一个融汇古今诊治知识,客观、科学而又保障辨证论治优势的研究模式,以保障和增强医者实施诊疗标准的规范性和创造性,同时有利于医者的临床经验培养。

Clinical diagnosis and treatment of Chinese medicine is decision-making process with initiative and creativity. There are many uncertain factors in actual clinical diagnosis and treatment process, so the uncertainty in the clinical course should be fully considered when making diagnosis and treatment standards of Chinese medicine. The initiative and creativity of doctors in the decision-making process should be enhanced rather than be limited, especially the formation of decision-making ideas. Decisionmaking science is a new comprehensive subject, which focuses on studying theory, principles, procedures and methods of scientii c decision-making. Decision-making psychology is introduced to establish an objective and scientii c research mode which is mixing ancient and modern knowledge of diagnosis and treatment together and could guarantee the advantage of treatment based on syndrome dif erentiation on the basis of mathematical statistics to open up a newfield of vision of standard research with diagnosis and treatment of Chinese medicine. It can protect and enhance the doctors＇ normative and creativity when implementing diagnosis standards, and it is conducive to the medical workers＇ clinical experience at the same time.