布里丹的毛驴:互联网对临床决策的负向影响与应对

The Donkey Hypothesis of Buridan: the Negative Influence of Internet on Clinical Decision Making and Its Countermeasures

“互联网+医疗健康”在国家支持、资本支撑的驱动下获得了快速发展,其在改善医患信息失衡、增加医疗服务机会公平等方面发挥了重要作用。实践中,“互联网+医疗健康”带来的医疗信息,存在着很多被误认、误用的情境,其实际意义需要被重新审视。“互联网+医疗健康”可能将临床决策带入决策困境,使得决策者变成布里丹假设的“毛驴”。临床决策的核心目标是使患者获得最佳利益,而不是单纯从数量上让患者获得更多的选择。提高“互联网+医疗健康”环境中的临床决策水平,需要在优化互联网医疗信息质量的基础上,精准认知互联网在医疗服务中的价值和作用,充分发挥医生的主导作用,引导患者进行理性决策。

Driven by state support and capital support,“Internet+medical health”has been rapidly developed.It has played an important role in improving the imbalance of doctor-patient information and increasing the equity of medical service opportunities.In practice,there are many situations in which medical information brought by the“Internet+medical health”has been misrecognized and misused,and its actual significance needs to be re-examined.“Internet+medical health”may have brought clinical decision making into the dilemma of decision making,which may make decision makers become the donkey in Buridan’s hypothetical.The core objective of clinical decision making is to obtain the best benefit for the patient,rather than simply giving patients more choices in quantity.To improve the level of clinical decision making in the“Internet+medical health”environment,it is necessary to accurately recognize the value and role of the Internet in medical services based on optimizing the quality of internet medical information,give full play to the leading role of doctors and guide patients to make rational decisions.