
When clinicians order a test, make a triage decision, or counsel a patient, they're betting real healthcare dollars and more on the usefulness of the test, the patient's clinical trajectory, or a diagnosis/prognosis. Prediction markets may help clinicians track their own and trainees' judgements to make better decisions and sharpen clinical intuitions. Patient privacy concerns, however, preclude using manifold for this purpose, as is.
Mar 8, 9:19pm: Will Manifold have a private/legal option for clinicians to track the quality of their clinical judgements by 2025? → Will Manifold have a private/legal option for clinicians to track the quality of their clinical judgements by 2025?
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I think this is unlikely to come soon, but this would be very useful for assessing calibration of clinical judgements. It would have to be followed by a more explicit understanding, in clinicians, of how severe the consequences of false negative and false positive results would be in a given situation. Now in some contexts this is mostly done in a centralised way by a technocratic committee who determine treatment pathways and guidelines, usually including where available quantitative estimates of these figures.
@WXTJ You’re absolutely right about the false positives and negatives. I kept it simple here. But for diagnoses we never want to miss (eg, heart attack), we better be over-testing. In some such contexts, a well calibrated prediction would be one that doesn’t miss any heart attacks (which is very hard to determine). Data on how much to test is much sparser than I suspect people think. People are using big data and AI to work on this problem.
@CarsonGale That’s a good question. I think something encrypted and HIPPA compliant would result in a yes. I figure this would only happen if there was indication that it would be adopted. But let’s say that no other functionality or proof of adoption is required.
@VadimShteyler @CarsonGale Private groups are one thing, but I doubt Manifold will want to get into HIPPA compliant development, it seems a bit outisde their wheelhouse, and I doubt professionals will want to reply upon Manifold for privacy compliance.