Emerging paradigms of cognition in medical decision-making

Vimla Patel, David Kaufman, Jose F. Arocha

Research output: Contribution to journalArticle

172 Citations (Scopus)

Abstract

The limitations of the classical or traditional paradigm of decision research are increasingly apparent, even though there has been a substantial body of empirical research on medical decision-making over the past 40 years. As decision-support technology continues to proliferate in medical settings, it is imperative that "basic science" decision research develop a broader-based and more valid foundation for the study of medical decision-making as it occurs in the natural setting. This paper critically reviews both traditional and recent approaches to medical decision making, considering the integration of problem-solving and decision-making research paradigms, the role of conceptual knowledge in decision-making, and the emerging paradigm of naturalistic decision-making. We also provide an examination of technology-mediated decision-making. Expanding the scope of decision research will better enable us to understand optimal decision processes, suitable coping mechanisms under suboptimal conditions, the development of expertise in decision-making, and ways in which decision-support technology can successfully mediate decision processes.

Original languageEnglish (US)
Pages (from-to)52-75
Number of pages24
JournalJournal of Biomedical Informatics
Volume35
Issue number1
DOIs
StatePublished - 2002
Externally publishedYes

Fingerprint

Cognition
Decision Making
Decision making
Technology
Research
Empirical Research
Clinical Decision-Making

Keywords

  • Biases
  • Cognition
  • Conceptual knowledge
  • Diagnostic reasoning
  • Distributed cognition
  • Heuristics
  • Medical decision-making
  • Naturalistic problem solving
  • Research paradigms

ASJC Scopus subject areas

  • Computer Science Applications
  • Health Informatics

Cite this

Emerging paradigms of cognition in medical decision-making. / Patel, Vimla; Kaufman, David; Arocha, Jose F.

In: Journal of Biomedical Informatics, Vol. 35, No. 1, 2002, p. 52-75.

Research output: Contribution to journalArticle

Patel, Vimla ; Kaufman, David ; Arocha, Jose F. / Emerging paradigms of cognition in medical decision-making. In: Journal of Biomedical Informatics. 2002 ; Vol. 35, No. 1. pp. 52-75.
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