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Related Experiment Videos

Decision technologies as normative instruments: exposing the values within.

Antoine Boivin¹, France Légaré, Pascale Lehoux

¹Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Netherlands. antoine.boivin@gmail.com

Patient Education and Counseling

|September 9, 2008

Summary

Decision technologies development and use involve implicit normative judgments, not just neutral evidence. Understanding these values is key for better implementation and public engagement.

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Area of Science:

Health Informatics
Decision Science
Sociology of Science

Background:

Decision technologies are often viewed through a knowledge translation/evidence-based medicine lens.
This perspective assumes decision technologies are neutral carriers of facts or research synthesis.

Purpose of the Study:

To describe implicit normative and value judgments in decision technologies development and use.
To analyze how normative judgments are embedded within these technologies.

Main Methods:

Conceptual analysis of published models.
Empirical normative analysis of qualitative interviews with clinical practice guideline developers (n=18) and users (n=17).

Main Results:

Normative judgments occur at multiple stages: identifying needs, determining content, and judging effectiveness.
Findings challenge the view of decision technologies as purely neutral or objective tools.
Socio-political dimensions and contested definitions of 'good decisions' are often overlooked.

Conclusions:

Normative judgments are integral to the entire lifecycle of decision technologies.
Empirical normative analysis reveals embedded values, interests, and power dynamics.
This research can improve implementation and foster public debate on technology norms.