Research on Consensus Mechanism of Diagnosis and Treatment Conclusion of Consultation

Abstract

This paper is to explore how to form the three typical consensus mechanisms of diagnosis and treatment conclusion between consultation specialists in the process of consultation for intractable disease. After reviewing the medical records, each consultation specialist draws his or her own subjective preference of diagnosis and treatment conclusion, which is the subjective probability of diagnosing intractable disease. Meanwhile, each consultation specialist has his or her own authoritative endowment. With the descriptive research paradigm, credible preference and Bayes’ theorem, the scientific nature of the three typical consensus mechanisms to reach on the diagnosis and treatment conclusion for the consultation specialist is discussed theoretically. The first of the typical consensus mechanisms is reasonable; The second is reasonable when the inconsistency is an absolute minority, while the relative minority cannot guarantee the rationality; The third that the diagnosis and treatment conclusions confirmed by the authoritative consultation specialist can only be said to be helpless reasonable, but has the risk of arbitrary when it is difficult to reach a consensus. The three typical consensus mechanisms on diagnosis and treatment conclusion are determined by the preferences and authoritative endowments of consultation specialists.