Behavioral Economics Interventions in Clinical Decision Support Systems

Yearbook of Medical Informatics
Insook Cho, David W Bates

Abstract

Clinical decision support (CDS) systems can improve safety and facilitate evidence-based practice. However, clinical decisions are often affected by the cognitive biases and heuristics of clinicians, which is increasing the interest in behavioral and cognitive science approaches in the medical field. This review aimed to identify decision biases that lead clinicians to exhibit irrational behaviors or responses, and to show how behavioral economics can be applied to interventions in order to promote and reveal the contributions of CDS to improving health care quality. We performed a systematic review of studies published in 2016 and 2017 and applied a snowball citationsearch method to identify topical publications related to studies forming part of the BEARI (Application of Behavioral Economics to Improve the Treatment of Acute Respiratory Infections) multisite, cluster-randomized controlled trial performed in the United States. We found that 10 behavioral economics concepts with nine cognitive biases were addressed and investigated for clinician decision-making, and that the following five concepts, which were actively explored, had an impact in CDS applications: social norms, framing effect, status-quo bias, heuristics, and ov...Continue Reading

Citations

Jun 2, 2020·Annals of Internal Medicine·Kensaku Kawamoto, Clement J McDonald
Sep 17, 2020·BMC Health Services Research·Daniel LewkowiczErwin Boettinger
May 27, 2021·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Emily M Becker-HaimesAmanda Jensen-Doss
May 28, 2021·Cancer·Trevor C HuntBrock B O'Neil
Jul 14, 2021·BMC Medical Informatics and Decision Making·Yeshwant Reddy ChillakuruJae Ho Sohn
Dec 22, 2021·AJOB Neuroscience·Kiante FernandezJohn Dominic Medaglia

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Allergies result from the hyperreactivity of the immune system to some environmental substance and can be life-threatening. Infectious diseases are caused by organisms including bacteria, viruses, fungi and parasites. They can be transmitted different ways, such as person-to-person. Here is the latest research on allergy and infectious diseases.