Patients Derogate Physicians Who Use a Computer-Assisted Diagnostic Aid

@article{arkes.shaffer.medow.2007, abstract = {Objective . To ascertain whether a physician who uses a computer-assisted diagnostic support system (DSS) would be rated less capable than a physician who does not. Method. Students assumed the role of a patient with a possible ankle fracture (experiment 1) or a possible deep vein thrombosis (experiment 2). They read a scenario that described an interaction with a physician who used no DSS, one who used an unspecified DSS, or one who used a DSS developed at a prestigious medical center. Participants were then asked to rate the interaction on 5 criteria, the most important of which was the diagnostic ability of the physician. In experiment 3, 74 patients in the waiting room of a clinic were randomly assigned to the same 3 types of groups as used in experiment 1. In experiment 4, 131 3rd- and 4th-year medical students read a scenario of a physician-patient interaction and were randomly assigned to 1 of 4 groups: the physician used no DSS, heeded the recommendation of a DSS, defied a recommendation of a DSS by treating in a less aggressive manner, or defied a recommendation of a DSS by treating in a more aggressive manner . Results. The participants always deemed the physician who used no decision aid to have the highest diagnostic ability. Conclusion. Patients may surmise that a physician who uses a DSS is not as capable as a physician who makes the diagnosis with no assistance from a DSS. Key words: decision support techniques; diagnosis computer assisted; patient satisfaction. (Med Decis Making 2007; 27: 189--202) 10.1177/0272989X06297391}, author = {Arkes, Hal R. and Shaffer, Victoria A. and Medow, Mitchell A. }, citeulike-article-id = {2587936}, doi = {10.1177/0272989X06297391}, journal = {Med Decis Making}, keywords = {actuarial-clinical, decision-making, psychology}, month = {March}, number = {2}, pages = {189--202}, posted-at = {2008-03-26 00:04:06}, priority = {0}, title = {Patients Derogate Physicians Who Use a Computer-Assisted Diagnostic Aid}, url = {http://dx.doi.org/10.1177/0272989X06297391}, volume = {27}, year = {2007} }

TY - JOUR ID - arkes.shaffer.medow.2007 L3 - citeulike-article-id:2587936 TI - Patients Derogate Physicians Who Use a Computer-Assisted Diagnostic Aid JF - Med Decis Making VL - 27 IS - 2 SP - 189 EP - 202 N2 - Objective . To ascertain whether a physician who uses a computer-assisted diagnostic support system (DSS) would be rated less capable than a physician who does not. Method. Students assumed the role of a patient with a possible ankle fracture (experiment 1) or a possible deep vein thrombosis (experiment 2). They read a scenario that described an interaction with a physician who used no DSS, one who used an unspecified DSS, or one who used a DSS developed at a prestigious medical center. Participants were then asked to rate the interaction on 5 criteria, the most important of which was the diagnostic ability of the physician. In experiment 3, 74 patients in the waiting room of a clinic were randomly assigned to the same 3 types of groups as used in experiment 1. In experiment 4, 131 3rd- and 4th-year medical students read a scenario of a physician-patient interaction and were randomly assigned to 1 of 4 groups: the physician used no DSS, heeded the recommendation of a DSS, defied a recommendation of a DSS by treating in a less aggressive manner, or defied a recommendation of a DSS by treating in a more aggressive manner . Results. The participants always deemed the physician who used no decision aid to have the highest diagnostic ability. Conclusion. Patients may surmise that a physician who uses a DSS is not as capable as a physician who makes the diagnosis with no assistance from a DSS. Key words: decision support techniques; diagnosis computer assisted; patient satisfaction. (Med Decis Making 2007; 27: 189--202) 10.1177/0272989X06297391 KW - actuarial-clinical KW - decision-making KW - psychology AU - Arkes, Hal AU - Shaffer, Victoria AU - Medow, Mitchell PY - 2007/03/01/ UR - http://dx.doi.org/10.1177/0272989X06297391 ER -