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Titolo:
Cognitive psychological studies of representation and use of clinical practice guidelines
Autore:
Patel, VL; Arocha, JF; Diermeier, M; How, J; Mottur-Pilson, C;
Indirizzi:
Columbia Univ Coll Phys & Surg, Dept Med Informat, New York, NY 10032 USA Columbia Univ Coll Phys & Surg New York NY USA 10032 w York, NY 10032 USA McGill Univ, Ctr Med Educ, Montreal, PQ, Canada McGill Univ Montreal PQ Canada Univ, Ctr Med Educ, Montreal, PQ, Canada Montreal Gen Hosp, Div Endocrinol, Montreal, PQ H3G 1A4, Canada Montreal Gen Hosp Montreal PQ Canada H3G 1A4 Montreal, PQ H3G 1A4, Canada Amer Coll Physicians, Amer Soc Internal Med, Philadelphia, PA USA Amer Coll Physicians Philadelphia PA USA ernal Med, Philadelphia, PA USA
Titolo Testata:
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
fascicolo: 3, volume: 63, anno: 2001,
pagine: 147 - 167
SICI:
1386-5056(200110)63:3<147:CPSORA>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
EVIDENCE BASED MEDICINE; HYPOTHESIS GENERATION; EXPERTISE; PERCEPTION; ATTITUDES; SCIENCE; SYSTEM; RECALL;
Keywords:
clinical practice guidelines; expertise; decision-making; cognitive research;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
50
Recensione:
Indirizzi per estratti:
Indirizzo: Patel, VL Columbia Univ Coll Phys & Surg, Dept Med Informat, 5th Floor,Vanderbilt Clin Bldg,622W 168th St, New York, NY 10032 USA Columbia Univ Coll Phys & Surg 5th Floor,Vanderbilt Clin Bldg,622W 168th St New York NY USA 10032
Citazione:
V.L. Patel et al., "Cognitive psychological studies of representation and use of clinical practice guidelines", INT J MED I, 63(3), 2001, pp. 147-167

Abstract

Clinical practice guidelines provide a means to enhance physician performance. This investigation was undertaken in an attempt to understand the nature of impact of guideline use on physician performance. We investigated theimpact of (a) algorithmic-based and (b) text-based practice guidelines on clinical decision-making by physicians at varying levels of expertise. Datawere collected using clinical scenarios and a think-aloud paradigm, both with (primed) and without (spontaneous) the use of the guidelines. The two guidelines used in the study were management of diabetes and screening for thyroid disease. The results show that guidelines were used as reminders forboth experts and non-experts. Guidelines acted as an educational tool for non-experts by assisting in knowledge reorganization, particularly for the non-experts. Text and algorithmic guideline formats were both useful to physician performance depending on the purpose of use: solving clinical problems or learning. These results provide insights into how guidelines can be fine-tuned for different users and for different purposes. Empirical research, coupled with design principles from the cognitive sciences, can form an essential component of guideline design and development. (C) 2001 Elsevier Science Ireland Ltd. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/01/20 alle ore 22:21:09