Do patients trust computers?

被引:164
作者
Promberger, Marianne [1 ]
Baron, Jonathan [1 ]
机构
[1] Univ Penn, Philadelphia, PA 19104 USA
关键词
advice gluing; recommendations; medical conditions;
D O I
10.1002/bdm.542
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
In two studies, we inquired whether patients accept medical recommendations that come from a computer program rather than from a physician. In study 1, we found that subjects, when deciding whether to have an operation or not in different medical scenarios, were more likely to follow a recommendation that came from a physician than one that came from a computer program. Subjects stated that they would feel less responsible when following a recommendation than when deciding against it. Following a physician's recommendation reduced the feeling of responsibility more than following that of a computer program. The difference in feeling of responsibility when following versus when not following a recommendation partly mediated subjects' inclination to follow the physician more. In our second study, we found that subjects were more decision seeking when they received a recommendation or decision from a computer program, and they were more decision seeking when they had to accept a decision than when they received a recommendation. Subjects also trusted the physician more than the computer program to make a good recommendation or decision. Copyright (c) 2006 John Wiley & Sons, Ltd.
引用
收藏
页码:455 / 468
页数:14
相关论文
共 32 条
[1]   COMPUTER-AIDED DIAGNOSIS OF ACUTE ABDOMINAL-PAIN - A MULTICENTER STUDY [J].
ADAMS, ID ;
CHAN, M ;
CLIFFORD, PC ;
COOKE, WM ;
DALLOS, V ;
DEDOMBAL, FT ;
EDWARDS, MH ;
HANCOCK, DM ;
HEWETT, DJ ;
MCINTYRE, N ;
SOMERVILLE, PG ;
SPIEGELHALTER, DJ ;
WELLWOOD, J ;
WILSON, DH .
BRITISH MEDICAL JOURNAL, 1986, 293 (6550) :800-804
[2]   FACTORS INFLUENCING THE USE OF A DECISION RULE IN A PROBABILISTIC TASK [J].
ARKES, HR ;
DAWES, RM ;
CHRISTENSEN, C .
ORGANIZATIONAL BEHAVIOR AND HUMAN DECISION PROCESSES, 1986, 37 (01) :93-110
[3]   Evaluation of a computerized diagnostic decision support system for patients with pneumonia: Study design considerations [J].
Aronsky, D ;
Chan, KJ ;
Haug, PJ .
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2001, 8 (05) :473-485
[4]  
BABCOCK L, 2003, PROPENSITY INITIATE
[5]   Information systems can prevent errors and improve quality [J].
Balas, EA .
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2001, 8 (04) :398-399
[6]   THE MODERATOR MEDIATOR VARIABLE DISTINCTION IN SOCIAL PSYCHOLOGICAL-RESEARCH - CONCEPTUAL, STRATEGIC, AND STATISTICAL CONSIDERATIONS [J].
BARON, RM ;
KENNY, DA .
JOURNAL OF PERSONALITY AND SOCIAL PSYCHOLOGY, 1986, 51 (06) :1173-1182
[7]   Ten commandments for effective clinical decision support: Making the practice of evidence-based medicine a reality [J].
Bates, DW ;
Kuperman, GJ ;
Wang, S ;
Gandhi, T ;
Kittler, A ;
Volk, L ;
Spurr, C ;
Khorasani, R ;
Tanasijevic, M ;
Middleton, B .
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2003, 10 (06) :523-530
[8]   PSYCHOLOGICAL DETERMINANTS OF DECISION ATTITUDE [J].
BEATTIE, J ;
BARON, J ;
HERSHEY, JC ;
SPRANCA, MD .
JOURNAL OF BEHAVIORAL DECISION MAKING, 1994, 7 (02) :129-144
[9]   Diagnostic decision support systems: How to determine the gold standard? [J].
Berner, ES .
JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2003, 10 (06) :608-610
[10]   EFFECTS OF PATIENT EDUCATION ON DECISIONS ABOUT BREAST-CANCER TREATMENTS - A PRELIMINARY-REPORT [J].
CHAPMAN, GB ;
ELSTEIN, AS ;
HUGHES, KK .
MEDICAL DECISION MAKING, 1995, 15 (03) :231-239