Patients Derogate Physicians Who Use a Computer-Assisted Diagnostic Aid

Abstract

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.

Ratings of physicians relying on experts versus physicians relying on decision aids

“…This study replicated the previous finding that physicians who use computer based diagnostic aids are rated less favorably across several variables than physicians who make an unaided diagnosis [7]. This research demonstrates that it is not the consultation of an outside source that patients find objectionable.…”

“…Physicians believe that to use such aids is to employ "cookbook" medicine, and undermine years of schooling and training. Patients give lower ratings of diagnostic ability, professionalism, and overall satisfaction to physicians using a computer-based aid during diagnosis [7].…”

Threat of Technological Unemployment: Are Hiring Managers Discounted for Using Standardized Employee Selection Practices?

“…When a causal schema includes multiple sufficient causes, the discounting principle suggests that the presence of facilitative external factors (e.g., standardized practices) reduces the extent to which people attribute an outcome to internal factors (e.g., human judgment; Himmelfarb & Anderson, 1975;Kelley & Michela, 1980). Research examining the use of standardized decision-making practices in the fields of medicine and accounting supports the tenets of attribution theory's discounting principle (Arkes, Shaffer, & Medow, 2007;Lowe, Reckers, & Whitecotton, 2002). Pezzo and Pezzo (2006), for example, found that a physician who made a proper diagnosis using intuition was generally credited with a having made a higher quality decision than a physician who arrived at the same diagnosis using a standardized approach.…”

Are Residents’ Decisions Influenced More by a Decision Aid or a Specialist’s Opinion? A Randomized Controlled Trial

“…Factors relating to this underutilization are commonly classified as pertaining to the clinical problem, patient factors, provider traits, system characteristics and the health-care environment 9 . We have been exploring issues affecting the psychological perspective of the provider on the use of decision aids 10,11 . Perhaps physicians simply do not put as much credence in the recommendation of a decision aid compared with the advice of a colleague.…”