原创力文档analysis of agreement on traditional chinese medical diagnostics for many practitioners分析中国传统医学诊断协议的实践者.pdfVIP
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analysis of agreement on traditional chinese medical diagnostics for many practitioners分析中国传统医学诊断协议的实践者
Hindawi Publishing Corporation
Evidence-Based Complementary and Alternative Medicine
Volume 2012, Article ID 178081, 5 pages
doi:10.1155/2012/178081
Research Article
Analysis of Agreement on Traditional Chinese Medical
Diagnostics for Many Practitioners
Lun-Chien Lo,1 Tsung-Lin Cheng,2 You-Chieh Huang,2
Ying-Ling Chen,1 and Jeng-Ting Wang2
1 Department of TCM, Changhua Christian Hospital, 135 Nanxiao Street, Changhua City 500, Taiwan
2 Graduate Institute of Statistics and Information Science, National Changhua University of Education, No. 1, Jin-De Road,
Changhua City 500, Taiwan
Correspondence should be addressed to Tsung-Lin Cheng, tlcheng@.tw
Received 18 March 2011; Revised 29 April 2011; Accepted 2 May 2011
Academic Editor: Andreas Sandner-Kiesling
Copyright © 2012 Lun-Chien Lo et al. This is an open access article distributed under the Creative Commons Attribution License,
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
In Traditional Chinese Medicine (TCM) diagnostics, it is an important issue to study the degree of agreement among several
distinct practitioners. In order to study the reliability of TCM diagnostics, we have to design an experiment to simultaneously deal
with both of the cases when the data is ordinal and when there are many TCM practitioners. In this study, we consider a reliability
measure called “Krippendorff ’s alpha” to investigate the agreement of tongue diagnostics in TCM. Besides, since it is not easy to
obtain a large data set with patients rated simultaneously by many TCM practitioners, we use the renowned “bootstrapping” to
obtain a 95% confidence interval for the Krippendorff ’s alpha. The estimated Krippendorff ’s alpha for the agreement among ten
physi
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