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Published on: February 16, 2011
Context factors in clinical decision-making: a scoping review
Katharina Schuler1, Ian-C Jung2, Maria Zerlik2
1Institute for Medical Informatics and Biometry, Faculty of Medicine, University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Fetscherstraße 74, 01307, Dresden, Germany. Katharina.schuler1@tu-dresden.de.
This study identifies 946 context factors influencing clinical decisions, categorized by patient, physician, family, institution, colleagues, and treatment. This research aims to improve clinical decision support systems (CDSS) by enhancing their contextual adaptation.
Area of Science:
- Medical Informatics
- Health Services Research
- Decision Science
Background:
- Clinical decision support systems (CDSS) often lack contextual adaptation, reducing user engagement.
- Understanding context factors is vital for improving CDSS sensitivity to real-world clinical conditions.
- This study systematically identifies and reviews literature on context factors influencing clinical decision-making.
Conclusions:
- This study offers a comprehensive overview of context factors in clinical decision-making.
- It highlights the complexity and diversity of contextual influences on the decision-making process.
- The findings provide a foundation for developing more effective, context-sensitive CDSS, advancing personalized medicine and optimizing clinical outcomes.
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