Based On The System Complexity And Epistemology Of The Traditional Chinese Medicine Diagnosis And Treatment Decision Model Research

Diagnosis and treatment decision model reflects the process the doctor use the knowledge to make clinical judgment and intervention. Differences in ways of modes of knowledge background and thinking between TCM and Western medicine, therefore it has formed the far different cognitive paradigm. Knowing what differences within the process are critical to those decisions helps decide where focus are the best placed. As the epistemology and methodology referenced between Chinese and western medicine, it makes the research pay more attention to standardization in terms of clinical evidence grading, guidelines and clinical decision research. But there still exit less attention to the experience in recent years. By using the visualization method and the path integration strategy, it helps to find out the correlation between the hot spot in research and to expand the dimension of clinical observations. That provided information practice model for reduce health care costs.The paper roots in the project "The information integration visualized modeling study of TCM diagnosis and treatment base on system complexity’ which is supported by National Nature Science Fund(grant No.81273876). The article is backed by clinical decision analysis, begin with the hot spot in the field, systematically describes the clinical decision principle of Chinese and western medicine and point out that the clinical decision in TCM is not based on statistical probability, but based on the goodness of fit between pathogenesis and symptom as doctors experience repetition key. On the strength of information visualization technology, It’s a research that combs the medical clinical decision research hot issues and trends, strives to discuss each category between the traditional clinical thinking and modern medical decision, and expands the understanding of the similar problem dimensions. According to the relevant domestic and international literature, the study found that medical decision-making system, clinical guidelines model and clinical pathway system research have close correlation. Based on this, put forward some new ideas that the clinical pathway system should be combined with evidence-based practice and comprehensive curative effect evaluation. The study design the development of clinical pathway of traditional Chinese medicine system modeling scheme. What should be of concern is that the doctor reports typical cases by we-media, which will accelerate the development of clinical pathway on the way to personalized and practical development. The metasynthesis can provides the complement methodology to the transformation process from the experience of TCM hypothesis to scientific reasoning. HWME is an effective tool to solve the problem of complex problem. Group discussion process exploration can promote complexity problem solving strategies in the field of research in TCM,which can provides integrated platform integration strategy to TCM clinical decision problems.1.objectives1.1to study the inherent law of traditional Chinese medicine diagnosis and treatment pattern from clinical decision analysis perspective;1.2to comb the medical clinical decision research hot issues and trends by information visualization method;1.3to analysis the joint point between the clinical pathway of traditional Chinese medicine research and decision support system from the information practice perspective;1.4to analysis the evolution of the diagnosis and treatment decision-making model in TCM, and to discuss medical complex problem solving strategies.2.methods2.1Using comparison analysis method, this article attempts to point clinical decision analysis to sort out differences and similarities between TCM and western medicine;2.2Using clustering method, this study develops a knowledge map of the hot spot of medicine;2.3On the strength of information visualization technology, this article identified the the correlation between the clinical decision supported system and the clinical pathway, explored information modeling research hot spot problems. Which can provide material for the clinical pathway of TCM information practice and the clinical decision support system development;2.4With regard to the metasynthesis, the paper analyses the decision making problems from the perspective of individual and group decision and found out that HWME is an effective tool to solve the problem of complex problem.3Results3.1The intrinsic logic structure of Chinese and western medicine clinical decision was combed out. Combining with "pathogenesis article19", it was very important that syndrome differentiation and disease differentiation should be combined. 3.2By cluster analysis method.3172target paper was founded and drawn into citation network. The data result shows that the citation network were divided into18clustering, from which we can find that computer aided decision analysis research is a hot problem in recent years.3.3Articles had close correlation with the clinical pathway system and information system were selected, clustering analysis view and time zone analysis view were drawn, the high levels of research literature was enumerated as the list of forms. And on this basis we create the clinical pathway of traditional Chinese medicine workflow framework.3.4The formation mode and development mode of TCM traditional decision theory of diagnosis and treatment are mostly on the basis of promotion of individual doctor’s experience leading to the formation of different theoretical system of academic schools. The group decision experience, scattering in medical works in all ages, shows up some hysteresis and non-real-time quality because the influence of the level of science and technology.4. Conclusions4.1Medical practice bottoms upon transferred the case information transfer mode from the past to the future. The key to success used the case information is to identify the similarities between past and present cases. Decision analysis method is developed in the process of looking for similarities. Because of the difference of culture, Chinese and Western medicine have evolved different epistemology logic and decision analysis. Western clinical decision analysis is the basis calculation of the value of different opportunities. The clinical decision in TCM is based on the goodness of fit between pathogenesis and symptom as doctors experience repetition key. The common ground between the two is that both emphasize the important role of heuristic knowledge in clinical decision making. With the diversification of information dissemination, the typical medical record will be an effective means for filling the evidence missing.4.2Computer decision support system is a hot problem in the study on clinical decision in recent years. Compared with western developed countries, the apply of the decision support system in our country is less. In the aspect of the TCM decision-making information integrated visualization study, classic extradition triggering mechanism should be concerned. Meanwhile Clinical guidelines for the integration of visualization and typical case report also be paid more attention, combined with the development of software function and the clinical efficacy evaluation of TCM, Similar studies are possible in a wider range to promote the effect of baseline measurement and the application of Evidence knowledge.4.3In the practice of clinical pathway, origin and reasonable thinking with humanity flavor are needed at thinking level, rigorous methodological design and process quality control are needed at organization level, and adjustment of medical standards, reduction of medical cost and emergence of advantage therapies are needed at policy and regulation level.4.4Metasynthesis method provides a methodological guidance for the translation of decision information laying equal stress on doctor individual and group. The doctor’s experience and judgment were combined with decision mode through clearing7processes including finding problems, defining goal, confirming value disciplines, and preparing, analyzing, optimizing, practicing and spreading scheme. The study will be benefit to improve doctors’ability to solve complex problems, defining goal, confirming value disciplines, and preparing, analyzing, optimizing, practicing and spreading scheme. The study will be benefit to improve doctors’ ability to solve complex problems and reduce misdiagnosis rate.