A decision support system for improving doctors' prescribing behavior

被引:15
作者
Lin, Chinho [2 ,3 ]
Lin, Chun Mei [2 ,3 ]
Lin, Binshan [1 ]
Yang, Ming-Chin [4 ]
机构
[1] Louisiana State Univ, Coll Business Adm, Shreveport, LA 71115 USA
[2] Natl Cheng Kung Univ, Dept Ind Management Sci, Tainan 70101, Taiwan
[3] Natl Cheng Kung Univ, Inst Informat Management, Tainan 70101, Taiwan
[4] Natl Taiwan Univ, Coll Publ Hlth, Grad Inst Hlth Care Org Adm, Taipei, Taiwan
关键词
Pre-play communication; Coordination game; Prescribing behavior; Decision support system (DSS); GAME-THEORETIC APPROACH; NATIONAL-HEALTH INSURANCE; REPORT CARDS; COORDINATION GAMES; KNOWLEDGE MANAGEMENT; TASK COMPLEXITY; DATA WAREHOUSE; INFORMATION; IMPACT; QUALITY;
D O I
10.1016/j.eswa.2008.10.066
中图分类号
TP18 [人工智能理论];
学科分类号
081104 ; 0812 ; 0835 ; 1405 ;
摘要
The study adopts a well-defined game theory with a decision support system (DSS) to embed the critical factors involved in coordination game equilibrium. A data-warehouse-based DSS is used as a coordinating instrument along with the disclosure of quality report cards. Feedback on prescribing, giving information on aggregated data, along with the DSS, could be sufficient to improve prescribing behavior. The aim of this study was to apply a DSS with pre-play communication of the coordination game theory to the improvement of doctors' antibiotic prescribing behavior. We examined whether the DSS improved the prescribing behavior, and assessed how well the participating doctors improved quality of care. We found the group using the system had a greater decrease in antibiotic prescription than the non-DSS group. This study concluded that the DSS with game-theory modeling has made significant contributions for improving the doctors' prescribing behavior. Future research directions and managerial implications are addressed as well. (c) 2008 Elsevier Ltd. All rights reserved.
引用
收藏
页码:7975 / 7984
页数:10
相关论文
共 61 条
[1]   Changing physician prescribing behavior: A low-cost administrative policy that reduced the use of brand name nonsteroidal anti-inflammatory drugs [J].
Ahluwalia, JS ;
Weisenberger, ML ;
Bernard, AM ;
McNagny, SE .
PREVENTIVE MEDICINE, 1996, 25 (06) :668-672
[2]   Tax compliance as a coordination game [J].
Alm, J ;
McKee, M .
JOURNAL OF ECONOMIC BEHAVIOR & ORGANIZATION, 2004, 54 (03) :297-312
[3]  
Alvanzo AH., 2003, CLIN GOVERNANCE INT, V8, P69
[4]  
[Anonymous], 1994, GAMES INFORM INTRO G
[5]   The Catch data warehouse: support for community health care decision-making [J].
Berndt, DJ ;
Hevner, AR ;
Studnicki, J .
DECISION SUPPORT SYSTEMS, 2003, 35 (03) :367-384
[6]   Progress in Web-based decision support technologies [J].
Bhargava, Hemant K. ;
Power, Daniel J. ;
Sun, Daewon .
DECISION SUPPORT SYSTEMS, 2007, 43 (04) :1083-1095
[7]   DECISION-MAKING AND PRESCRIBING PATTERNS - A LITERATURE-REVIEW [J].
BRADLEY, CP .
FAMILY PRACTICE, 1991, 8 (03) :276-287
[8]   Truth or consequences: An experiment [J].
Brandts, J ;
Charness, G .
MANAGEMENT SCIENCE, 2003, 49 (01) :116-130
[9]   Monitoring health reform: a report card approach [J].
Brownell, MD ;
Roos, NP ;
Roos, LL .
SOCIAL SCIENCE & MEDICINE, 2001, 52 (05) :657-670
[10]   Risk, pre-play communication and equilibrium [J].
Burton, A ;
Sefton, M .
GAMES AND ECONOMIC BEHAVIOR, 2004, 46 (01) :23-40