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Abstract
In this paper I have described a number of examples of the use of clinical decision analysis for guiding both individual patient decisions, and decisions for populations. The former is the only systematic way in which patients' preferences can be formally included in the decision. This is not always appropriate and it would be foolish to use decision analysis for many everyday clinical decisions. However, for difficult decisions, there are good reasons to believe that it will result in decisions that accord better with patient preferences than intuitive methods. Practitioners of evidence-based medicine will be looking for evidence from randomized controlled trials.
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