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Behavioral Economics Interventions in Clinical Decision Support Systems
Insook Cho1,2, David W Bates2,3,4
1Nursing Department, Inha University, Incheon, South Korea.
Yearbook of Medical Informatics
|August 30, 2018
Summary
Behavioral economics concepts, including cognitive biases, can enhance clinical decision support (CDS) systems. Applying these insights improves clinician decision-making and healthcare quality.
Area of Science:
- Behavioral economics
- Cognitive science
- Health informatics
Background:
- Clinical decision support (CDS) systems enhance safety and evidence-based practice.
- Clinician cognitive biases and heuristics can negatively impact clinical decisions.
- Behavioral and cognitive science approaches are increasingly relevant in medicine.
Purpose of the Study:
- Identify decision biases affecting clinician behavior.
- Explore behavioral economics interventions for CDS.
- Assess CDS contributions to healthcare quality.
Main Methods:
- Systematic review of studies from 2016-2017.
- Snowball citation search method.
- Identification of publications related to the BEARI trial.
Main Results:
- Ten behavioral economics concepts and nine cognitive biases were investigated.
- Five concepts impacted CDS applications: social norms, framing effect, status-quo bias, heuristics, and overconfidence bias.
- Behavioral economics techniques are increasingly used in areas like antibiotic prescribing.
Conclusions:
- Behavioral economics techniques show promise in improving CDS.
- Further testing of these concepts in diverse CDS areas is warranted.
- Future research should focus on design strategies combining behavioral economics with CDS functions.
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