Skip to main content
Proceedings of the Annual Symposium on Computer Application in Medical Care logoLink to Proceedings of the Annual Symposium on Computer Application in Medical Care
. 1993:478–484.

Dynamic decision modeling in medicine: a critique of existing formalisms.

T Y Leong 1
PMCID: PMC2248554  PMID: 8130519

Abstract

Dynamic decision models are frameworks for modeling and solving decision problems that take into explicit account the effects of time. These formalisms are based on structural and semantical extensions of conventional decision models, e.g., decision trees and influence diagrams, with the mathematical definitions of finite-state semi-Markov processes. This paper identifies the common theoretical basis of existing dynamic decision modeling formalisms, and compares and contrasts their applicability and efficiency. It also argues that a subclass of such dynamic decision problems can be formulated and solved more effectively with non-graphical techniques. Some insights gained from this exercise on automating the dynamic decision making process are summarized.

Full text

PDF
478

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Beck J. R., Pauker S. G. The Markov process in medical prognosis. Med Decis Making. 1983;3(4):419–458. doi: 10.1177/0272989X8300300403. [DOI] [PubMed] [Google Scholar]
  2. Hazen G. B. Stochastic trees: a new technique for temporal medical decision modeling. Med Decis Making. 1992 Jul-Sep;12(3):163–178. doi: 10.1177/0272989X9201200302. [DOI] [PubMed] [Google Scholar]
  3. Wong J. B., Sonnenberg F. A., Salem D. N., Pauker S. G. Myocardial revascularization for chronic stable angina. Analysis of the role of percutaneous transluminal coronary angioplasty based on data available in 1989. Ann Intern Med. 1990 Dec 1;113(11):852–871. doi: 10.7326/0003-4819-113-11-852. [DOI] [PubMed] [Google Scholar]

Articles from Proceedings of the Annual Symposium on Computer Application in Medical Care are provided here courtesy of American Medical Informatics Association

RESOURCES