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  • Title: Medical decision-support systems and the concept of context.
    Author: Karlsson D, Forsum U.
    Journal: Med Inform Internet Med; 2004 Jun; 29(2):109-18. PubMed ID: 15370991.
    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.
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