Abstract
The increasing prevalence of complex technology in the form of medical expert systems in the healthcare sector is presenting challenging opportunities to clinicians in their quest to improve patients’ health outcomes. Medical expert systems have brought measurable improvements to the healthcare outcomes for some patients. This paper highlights the importance of trust and acceptance in the healthcare industry amongst receivers of the care as well as other stakeholders and between large healthcare organizations. Studies show that current conceptual trust models, which are being used to measure the degree of trust relationships in different healthcare settings, cannot be easily evaluated because of the resistance of organizational and social changes which are to be implemented. Research findings also suggest that the use of medical expert systems do not automatically guarantee improved patient healthcare outcomes. Furthermore, during the building of predictive and diagnostic expert medical systems, studies recommend the use of algorithms which can deal with noisy and imprecise data which is typical in healthcare data. Such algorithms include fuzzy rule based systems.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Alaszewski, A.: Risk, trust and health. Health Risk Soc. 5(3), 235–239 (2003). https://doi.org/10.1080/13698570310001606941
Jones, J., Barry, M.M.: Developing a scale to measure trust in health promotion partnerships. Health Promot. Int. 26(4), 484–491 (2011)
Ward, P.R., et al.: A qualitative study of patient (dis)trust in public and private hospitals: the importance of choice and pragmatic acceptance for trust considerations in South Australia. BMC Health Serv. Res. 15(1), 297 (2015). https://doi.org/10.1186/s12913-015-0967-0
Turban, E., Aronson, J.E.: Decision Support Systems and Intelligent Systems. Prentice Hall, Upper Saddle River (2001)
Musen, M.A., Shahar, Y., Shortliffe, E.H.: Clinical decision-support systems. In: Biomedical Informatics Computer Applications in Health Care and Biomedicine, 3rd edn., pp. 698–736. Springer, USA (2006)
Musen, M.A., Middleton, B., Greenes, R.A.: Clinical decision-support systems. In: Shortliffe, E.H., Cimino, J.J. (eds.) Biomedical Informatics: Computer Applications in Health Care and Biomedicine, pp. 643–674. Springer, London (2014)
Alder, H., et al.: Computer-based diagnostic expert systems in rheumatology: where do we stand in 2014? Int. J. Rheumatol. (2014)
Walton, R.: An evaluation of CAPSULE, a computer system giving advice to general practitioners about prescribing drugs. J. Innov. Health Inform. [S.l.], 2–7 (1996). ISSN 2058-4563
Darlington, K.W.: Designing for explanation in health care applications of expert systems. SAGE Open 1(1) (2011). 2158244011408618
Metaxiotis, K., Psarras, J.: Expert systems in business: applications and future directions for the operations researcher. Ind. Manag. Data Syst. 103(5), 361–368 (2003). https://doi.org/10.1108/02635570310477
Grol, R., Grimshaw, J.: From best evidence to best practice: effective implementation of change in patients’ care. Lancet 362(9391), 1225–1230 (2003)
Ax, G., et al.: Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review. JAMA 293(10), 1223–1238 (2005)
Castaneda, C., et al.: Clinical decision support systems for improving diagnostic accuracy and achieving precision medicine. J. Clin. Bioinform. 5(1), 4 (2015)
Madkour, M.A., Roushdy, M.: Methodology for medical diagnosis based on fuzzy logic. In: Proceedings of Fifth International Conference on Soft Computing, vol. 2, pp. 1–14 (2016)
Stone, D.J., Csete, M.: Actuating critical care therapeutics. J. Crit. Care 35, 90–95 (2016)
Benson, T.: SNOMED CT. In: Benson, T. (ed.) Principles of Health Interoperability HL7 and SNOMED, pp. 189–215 (2010). https://doi.org/10.1007/978-1-84882-803-2
Appleby, J., Harrison, A., Devlin, N.: What Is the Real Cost of More Patient Choice?. King’s Fund, London (2003)
Leroy, G., Chen, H.: Introduction to the special issue on decision support in medicine. Decis. Support Syst. 43(4), 1203–1206 (2007)
Arnold, V., Clark, N., Collier, P.A., Leech, S.A., Sutton, S.G.: The differential use and effect of knowledge-based system explanations in novice and expert judgement decisions. MIS Q. 30(1), 79–97 (2006)
Berger, J.: Writing is an offshoot of something deeper (2014). https://www.theguardian.com/books/2014/dec/12/john-berger-writing-is-an-off-shoot-of-something-deeper
Mayer, R.C., Davis, J.H., Schoorman, F.D.: An integrative model of organizational trust. Acad. Manag. Rev. 20, 709–734 (1995). Mayer, R.C., Gavin, M.B.: Trust (2005)
Lewicki, R.J., Bunker, B.B.: Developing and maintaining trust in work relationships. Trust Organ. Front. Theory Res. 114–139 (1996)
Hall, G., Longman, J.: The Postgraduate Companion. Sage Publications, London (2008). Chapters 4–7 Eds
Mechanic, D., Meyer, S.: Concepts of trust among patients with serious illness. Soc. Sci. Med. 51(5), 657–668 (2000)
Calnan, M., Rowe, R.: Researching trust relations in health care: conceptual and methodological challenges – an introduction. J. Health Organ. Manag. 20(5), 349–358 (2006)
Tarrant, C., Stokes, T., Baker, R.: Factors associated with patients’ trust in their general practitioner: a cross-sectional survey. Br. J. Gen. Pract. 53(495), 798–800 (2003)
Mainous III, A.G., Baker, R., Love, M.M., Pereira Gray, D., Gill, J.M.: Continuity of care and trust in one’s physician: evidence from primary care in the United States and the United Kingdom. Fam. Med. 33, 22–27 (2001)
Calnan, M.W., Sanford, E.: Public trust in health care: the system or the doctor? BMJ Qual. Safety 13(2), 92–97 (2004). http://qualitysafety.bmj.com/content/13/2/92
Harrison, S., Smith, C.: Neo-bureaucracy and public management: the case of medicine in the national health service. Competition Change 7(4), 243–254 (2003). https://doi.org/10.1080/1024529042000197077
Khajouei, R., Jaspers, M.W.M.: The impact of CPOE medication systems’ design aspects on usability, workflow and medication orders a systematic review. Methods Inf. Med. 49(1), 3–19 (2010)
Larson, H.J., et al.: Addressing the vaccine confidence gap. Lancet 378(9790), 526–535 (2011). http://www.sciencedirect.com/science/article/pii/S0140673611606788
Systems, B.I.: A fuzzy expert system for response determining diagnosis and management movement impairments syndrome Fatemeh Mohammadi Amiri. Ameneh Khadivar Alireza Dolatkhah 24(1), 31–50 (2017)
Lepage, E., et al.: ILIAD: an expert system for diagnostic assistance and teaching: implementation in France. In: Adlassnig, K.-P., et al. (eds.) Medical Informatics Europe 1991, pp. 629–633. Springer, Heidelberg (1991)
Mackin, N., Stephens, C.D.: Development and testing of a fuzzy expert system - an example in orthodontics. In: Proceedings of Fuzzy Logic: Applications and Future Directions, pp. 61–71. Unicom Seminars Ltd, Uxbridge, Middlesex (1997)
Nohria, R.: Medical expert system-A comprehensive review. Int. J. Comput. Appl. 130(7), 975–8887 (2015)
Hunt, D.L., et al.: Effects of computer-based clinical decision support systems on physician performance and patient outcomes - a systematic review. JAMA J. Am. Med. Assoc. 280(15), 1339 (1998)
Edwards, G., Compton, P., Malor, R., Srinivasan, A., Lazarus, L.: PEIRS: a pathologist maintained expert system for the interpretation of chemical pathology reports. Pathology 25, 27–34 (1993)
Safran, D.G., et al.: Linking primary care performance to outcomes of care. J. Family Pract. 47, 213–220 (1998)
Author information
Authors and Affiliations
Corresponding authors
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this paper
Cite this paper
Vourgidis, I., Mafuma, S.J., Wilson, P., Carter, J., Cosma, G. (2019). Medical Expert Systems – A Study of Trust and Acceptance by Healthcare Stakeholders. In: Lotfi, A., Bouchachia, H., Gegov, A., Langensiepen, C., McGinnity, M. (eds) Advances in Computational Intelligence Systems. UKCI 2018. Advances in Intelligent Systems and Computing, vol 840. Springer, Cham. https://doi.org/10.1007/978-3-319-97982-3_9
Download citation
DOI: https://doi.org/10.1007/978-3-319-97982-3_9
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-97981-6
Online ISBN: 978-3-319-97982-3
eBook Packages: Intelligent Technologies and RoboticsIntelligent Technologies and Robotics (R0)