Factors Influencing Physicians' Acceptance of Computerized Clinical Decision Support Systems: A Study on Career Stage and Experience (Preprint)

Abstract

<sec> <title>BACKGROUND</title> Computerized clinical decision support systems (CDSS) have garnered attention in recent years to enhance clinical decision making and improve patient outcomes. However, their impact on healthcare providers, patient outcomes, and costs remains uncertain. </sec> <sec> <title>OBJECTIVE</title> This study aimed to investigate the factors influencing physicians' acceptance of CDSS based on their career stage and level of experience. Specifically, we sought to understand the disparity between test prescriptions and algorithm predictions made by physicians, the expectations regarding examination prescriptions from physicians who had solely reviewed patients' medical records, the differences between predictions made by physicians who had only reviewed medical records and the algorithm's predictions, and the degree of acceptance of algorithmic results based on physicians' experience. </sec> <sec> <title>METHODS</title> The study was conducted at an academic tertiary hospital in Seoul and involved clinicians working in the Emergency Department. The CANE system, a CDSS deployment platform, was utilized to provide recommendations for appropriate orders and examinations to patients visiting the emergency department. </sec> <sec> <title>RESULTS</title> Our findings revealed no significant differences in average scores between specific groups and the algorithm prior to exposure to the CANE algorithm. However, notable variations in average scores were observed among the three groups of medical professionals. Following exposure to CANE, the professor group exhibited a significant increase in average scores, while the resident group demonstrated a significant decrease. Overall, no statistically significant differences were found in the average scores among the three groups after exposure to CANE. </sec> <sec> <title>CONCLUSIONS</title> By gaining a comprehensive understanding of the factors influencing physicians' acceptance and adoption of CDSS, this study seeks to provide valuable insights for the development and implementation of CDSS in clinical practice, ultimately aiming to enhance patient outcomes. </sec>

Ähnliche Arbeiten