Perhaps two real-world examples will help!
For hypothesis testing, we are making asymmetric decisions, where the "cost" of a false positive is generally higher than the "cost" of a false negative. Suppose that our data suggests that there is a 80% chance that a drug is effective and only a 20% chance that the results could have been random luck. That might not be enough to take it, especially if there are severe side affects, it costs a fortune, etc...
Contrast this with a signal processing example - was the last bit we received a 0 or was it a 1. You might not know the a priori probabilities so you only have the ratio of odds, not the true odds. Also note that the "cost" to the system in making a 0 to 1 error is not significantly higher than making a 1 to 0 error or vice versa. Therefore, even if the odds ratio is only 1.0001 in favor of a 1 having been transmitted, the receiver will pick a 1 and move along.
Of course this might be a little different if you had a priori probabilities or you were using soft-decision based error correctino.