And the attempted solution – hard-wiring the guidelines into computerized “decision support tools” – has been largely a flop, given computer models’ inability to accommodate messy, real-world clinical practice. For example, generations of medical students have memorized the textbook features of celiac disease for their examinations.
而尝试性解决办法——将指引与计算机化的“决策支持工具”进行硬连接——基本宣告失败，因为计算机模型无法协调混乱的真实世界临床实践。比如，几代医学学生都要记住教科书上的乳糜泻病特征，以便通过考试。但书上的乳糜泻病和你姨妈的乳糜泻病并不完全相同。