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A Computer-Based Platform for Aiding Clinicians in Eating Disorder Analysis and Diagnosis
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Why do patients derogate physicians who use a computer-based diagnostic support system?

Victoria A Shaffer1,2, C Adam Probst3, Edgar C Merkle2

  • 1Department of Health Sciences, University of Missouri, Columbia, Missouri(VAS)

Medical Decision Making : an International Journal of the Society for Medical Decision Making
|July 24, 2012
PubMed
Summary
This summary is machine-generated.

Patients view computerized clinical decision support systems (CDSSs) negatively, not due to seeking advice, but due to the nonhuman tool itself. Individual differences in locus of control influence these perceptions.

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Area of Science:

  • Medical Informatics
  • Human-Computer Interaction
  • Health Psychology

Background:

  • Computerized clinical decision support systems (CDSSs) are increasingly integrated into healthcare.
  • Physician and patient perceptions of CDSSs vary, impacting adoption and effectiveness.
  • Understanding the drivers of negative perceptions is crucial for optimizing CDSS implementation.

Purpose of the Study:

  • To investigate the reasons behind patients' negative perceptions of CDSS use.
  • To explore factors contributing to the variability in physician evaluations of CDSSs.
  • To differentiate between general external advice seeking and specific CDSS use in influencing perceptions.

Main Methods:

  • Three vignette-based studies were conducted.
  • Experiment 1 compared perceptions of unaided diagnosis, CDSS use, and expert colleague consultation.
  • Experiments 2 and 3 examined the role of attitudes toward statistics (ATS) and Multidimensional Health Locus of Control (MHLC) respectively.

Main Results:

  • Physicians using CDSSs were rated less positively than those making unaided diagnoses or consulting colleagues.
  • Attitudes toward statistics did not influence perceptions of CDSS use.
  • Internal locus of control correlated with more positive views of unaided care and negative views of CDSS-assisted care.

Conclusions:

  • Negative perceptions of CDSSs appear specific to the use of nonhuman tools, not general advice seeking.
  • Individual differences, particularly locus of control, significantly shape perceptions of CDSSs.
  • Findings can inform patient education strategies regarding CDSS technology.