Interpretability of Machine Intelligence in Medical Image Computing and Multimodal Learning for Clinical Decision Support

2019 ◽  
Keyword(s):  
Decision Support ◽  
Clinical Decision Support ◽  
Medical Image ◽  
Clinical Decision ◽  
Machine Intelligence ◽  
Multimodal Learning ◽  
Medical Image Computing

Save Face or Save Life: Physicians’ Dilemma in Using Clinical Decision Support Systems

2021 ◽  
Author(s):  
Huigang Liang ◽  
Yajiong Xue
Keyword(s):  
Decision Support ◽  
Decision Support Systems ◽  
Clinical Decision Support ◽  
Time Pressure ◽  
Support Systems ◽  
Clinical Decision Support Systems ◽  
Clinical Decision ◽  
Care Quality ◽  
Machine Intelligence ◽  
Perceived Usefulness

Humans think both rationally and heuristically. So do physicians. Clinical decision support systems (CDSSs) provide advice to physicians that could save patients’ lives, but they could also make physicians feel face loss because of submission to machine intelligence, leading to a perplexing dilemma. Thinking rationally, physicians focus on fulfilling their professional duty to save patients and should follow advice from CDSS to improve care quality. Thinking heuristically, they focus on protecting their authoritative image to maintain face and are inclined to avoid embarrassment by resisting CDSS. Through a longitudinal survey and follow-up interviews with a group of Chinese physicians, we find that the dilemma does exist. Moreover, face loss has a stronger effect on CDSS resistance when physicians have high autonomy. When time pressure is high, perceived usefulness more strongly reduces, whereas face loss more strongly increases CDSS resistance, worsening the dilemma. As face is a universal social concern existing in both Eastern and Western cultures, this research generates insights regarding why physicians are slow in adopting information technology innovations.

Clinical decision support

2013 ◽  
Vol 46 (2) ◽  
pp. 52
Author(s):  
CHRISTOPHER NOTTE ◽  
NEIL SKOLNIK
Keyword(s):  
Decision Support ◽  
Clinical Decision Support ◽  
Clinical Decision

Architectures for Architects

1993 ◽  
Vol 32 (01) ◽  
pp. 12-13 ◽  
Author(s):  
M. A. Musen
Keyword(s):  
Decision Support ◽  
Decision Support Systems ◽  
Clinical Decision Support ◽  
Support Systems ◽  
Clinical Decision Support Systems ◽  
Clinical Decision ◽  
Design And Development

Abstract:Response to Heathfield HA, Wyatt J. Philosophies for the design and development of clinical decision-support systems. Meth Inform Med 1993; 32: 1-8.

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