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.
RCT Entities:
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 unspecifiedDSS, 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.
Authors: Paul K J Han; Nathan F Dieckmann; Christina Holt; Caitlin Gutheil; Ellen Peters Journal: Med Decis Making Date: 2016-03-16 Impact factor: 2.583
Authors: Jada G Hamilton; Margaux Genoff Garzon; Joy S Westerman; Elyse Shuk; Jennifer L Hay; Chasity Walters; Elena Elkin; Corinna Bertelsen; Jessica Cho; Bobby Daly; Ayca Gucalp; Andrew D Seidman; Marjorie G Zauderer; Andrew S Epstein; Mark G Kris Journal: J Oncol Pract Date: 2019-01-28 Impact factor: 3.840
Authors: Helen Cheyne; Vanora Hundley; Dawn Dowding; J Martin Bland; Paul McNamee; Ian Greer; Maggie Styles; Carol A Barnett; Graham Scotland; Catherine Niven Journal: BMJ Date: 2008-12-08