Med Decis Making - Why do patients derogate physicians who use a computer-based diagnostic support system?

Tópicos

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Resumo

JECTIVE: To better understand 1) why patients have a negative perception of the use of computerized clinical decision support systems (CDSSs) and 2) what contributes to the documented heterogeneity in the evaluations of physicians who use a CDSS.METHODS: Three vignette-based studies examined whether negative perceptions stemmed directly from the use of a computerized decision aid or the need to seek external advice more broadly (experiment 1) and investigated the contributing role of 2 individual difference measures, attitudes toward statistics (ATS; experiment 2) and the Multidimensional Health Locus of Control Scale (MHLC; experiment 3), to these findings.RESULTS: A physician described as making an unaided diagnosis was rated significantly more positively on a number of attributes than a physician using a computerized decision aid but not a physician who sought the advice of an expert colleague (experiment 1). ATS were unrelated to perceptions of decision aid use (experiment 2); however, greater internal locus of control was associated with more positive feelings about unaided care and more negative feelings about care when a decision aid was used (experiment 3).CONCLUSION: Negative perceptions of computerized decision aid use may not be a product of the need to seek external advice more generally but may instead be specific to the use of a nonhuman tool and may be associated with individual differences in locus of control. Together, these 3 studies may be used to guide education efforts for patients.

Resumo Limpo

jectiv better understand patient negat percept use computer clinic decis support system cdsss contribut document heterogen evalu physician use cdssmethod three vignettebas studi examin whether negat percept stem direct use computer decis aid need seek extern advic broad experi investig contribut role individu differ measur attitud toward statist at experi multidimension health locus control scale mhlc experi findingsresult physician describ make unaid diagnosi rate signific posit number attribut physician use computer decis aid physician sought advic expert colleagu experi at unrel percept decis aid use experi howev greater intern locus control associ posit feel unaid care negat feel care decis aid use experi conclus negat percept computer decis aid use may product need seek extern advic general may instead specif use nonhuman tool may associ individu differ locus control togeth studi may use guid educ effort patient

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