Medical decision-support systems and the concept of context
Authors: D Karlsson1; U Forsum2
Source: Medical Informatics and the Internet in Medicine, Volume 29, Number 2, June 2004 , pp. 109-118(10)
Publisher: Taylor and Francis Ltd
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Abstract:
Medical decision-support systems are of necessity multi-contextual in nature. There are always at least two contexts involved in the use of such systems: the expert knowledge-provider context and the end-user context. To show this, we present examples of context-dependent aspects significant to the use of decision-support systems. The existence of discrepancies between the contexts threatens to disrupt the rationale for using decision-support systems: for the system to transfer knowledge from the expert to the end-user. Both theoretical and empirical studies show that such discrepancies exist and that they may be detrimental to the use of decision-support systems. Systems must thus give support in interpreting the output produced by the system in the context of the end-user.Keywords: Decision-support systems; Context; Theoretical studies; Empirical studies
Document Type: Research article
DOI: 10.1080/14639230410001684404
Affiliations: 1: Division of Medical Informatics, Department of Biomedical Engineering Linköpings universitet Sweden 2: Urban Forsum, Division of Clinical Microbiology, Department of Molecular and Clinical Medicine Linköpings universitet Sweden
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