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Patients Derogate Physicians Who Use a Computer-Assisted Diagnostic Aid

Author

Listed:
  • Hal R. Arkes

    (Department of Psychology, The Ohio State University, Columbus, Ohio, arkes.1@osu.edu)

  • Victoria A. Shaffer

    (Department of Psychology, Wichita State University, Wichita, Kansas)

  • Mitchell A. Medow

    (Division of General Internal Medicine, College of Medicine, The Ohio State University, Columbus, Ohio)

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)

Suggested Citation

  • Hal R. Arkes & Victoria A. Shaffer & Mitchell A. Medow, 2007. "Patients Derogate Physicians Who Use a Computer-Assisted Diagnostic Aid," Medical Decision Making, , vol. 27(2), pages 189-202, March.
    • Handle: RePEc:sae:medema:v:27:y:2007:i:2:p:189-202
    DOI: 10.1177/0272989X06297391
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    References listed on IDEAS

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    1. Arkes, Hal R. & Dawes, Robyn M. & Christensen, Caryn, 1986. "Factors influencing the use of a decision rule in a probabilistic task," Organizational Behavior and Human Decision Processes, Elsevier, vol. 37(1), pages 93-110, February.
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    Cited by:

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