{"id":"https://openalex.org/W3036620451","doi":"https://doi.org/10.3233/shti200312","title":"Investigating the Barriers to Physician Adoption of an Artificial Intelligence- Based Decision Support System in Emergency Care: An Interpretative Qualitative Study","display_name":"Investigating the Barriers to Physician Adoption of an Artificial Intelligence- Based Decision Support System in Emergency Care: An Interpretative Qualitative Study","publication_year":2020,"publication_date":"2020-01-01","ids":{"openalex":"https://openalex.org/W3036620451","doi":"https://doi.org/10.3233/shti200312","mag":"3036620451","pmid":"https://pubmed.ncbi.nlm.nih.gov/32570532"},"language":"en","primary_location":{"id":"doi:10.3233/shti200312","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti200312","pdf_url":null,"source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.3233/shti200312","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5023613293","display_name":"C\u00e9cile Petitgand","orcid":"https://orcid.org/0000-0001-8957-5422"},"institutions":[{"id":"https://openalex.org/I4210142730","display_name":"Centre Hospitalier de l\u2019Universit\u00e9 de Montr\u00e9al","ror":"https://ror.org/0410a8y51","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I4210142730"]},{"id":"https://openalex.org/I70931966","display_name":"Universit\u00e9 de Montr\u00e9al","ror":"https://ror.org/0161xgx34","country_code":"CA","type":"education","lineage":["https://openalex.org/I70931966"]}],"countries":["CA"],"is_corresponding":true,"raw_author_name":"Petitgand C\u00e9cile","raw_affiliation_strings":["Faculty of Law, Universit\u00e9 de Montr\u00e9al, Montreal, Canada","Research Center, Centre hospitalier de l'Universit\u00e9 de Montr\u00e9al, Montreal, Canada"],"affiliations":[{"raw_affiliation_string":"Faculty of Law, Universit\u00e9 de Montr\u00e9al, Montreal, Canada","institution_ids":["https://openalex.org/I70931966"]},{"raw_affiliation_string":"Research Center, Centre hospitalier de l'Universit\u00e9 de Montr\u00e9al, Montreal, Canada","institution_ids":["https://openalex.org/I4210142730"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5051603035","display_name":"Aude Motulsky","orcid":"https://orcid.org/0000-0001-8052-942X"},"institutions":[{"id":"https://openalex.org/I4210142730","display_name":"Centre Hospitalier de l\u2019Universit\u00e9 de Montr\u00e9al","ror":"https://ror.org/0410a8y51","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I4210142730"]},{"id":"https://openalex.org/I70931966","display_name":"Universit\u00e9 de Montr\u00e9al","ror":"https://ror.org/0161xgx34","country_code":"CA","type":"education","lineage":["https://openalex.org/I70931966"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Motulsky Aude","raw_affiliation_strings":["Department of Management, Evaluation and Health Policy, Universit\u00e9 de Montr\u00e9al, Montreal, Canada","Research Center, Centre hospitalier de l'Universit\u00e9 de Montr\u00e9al, Montreal, Canada"],"affiliations":[{"raw_affiliation_string":"Department of Management, Evaluation and Health Policy, Universit\u00e9 de Montr\u00e9al, Montreal, Canada","institution_ids":["https://openalex.org/I70931966"]},{"raw_affiliation_string":"Research Center, Centre hospitalier de l'Universit\u00e9 de Montr\u00e9al, Montreal, Canada","institution_ids":["https://openalex.org/I4210142730"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017970648","display_name":"Jean\u2010Louis Denis","orcid":"https://orcid.org/0000-0003-1295-332X"},"institutions":[{"id":"https://openalex.org/I4210142730","display_name":"Centre Hospitalier de l\u2019Universit\u00e9 de Montr\u00e9al","ror":"https://ror.org/0410a8y51","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I4210142730"]},{"id":"https://openalex.org/I70931966","display_name":"Universit\u00e9 de Montr\u00e9al","ror":"https://ror.org/0161xgx34","country_code":"CA","type":"education","lineage":["https://openalex.org/I70931966"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Denis Jean-Louis","raw_affiliation_strings":["Department of Management, Evaluation and Health Policy, Universit\u00e9 de Montr\u00e9al, Montreal, Canada","Research Center, Centre hospitalier de l'Universit\u00e9 de Montr\u00e9al, Montreal, Canada"],"affiliations":[{"raw_affiliation_string":"Department of Management, Evaluation and Health Policy, Universit\u00e9 de Montr\u00e9al, Montreal, Canada","institution_ids":["https://openalex.org/I70931966"]},{"raw_affiliation_string":"Research Center, Centre hospitalier de l'Universit\u00e9 de Montr\u00e9al, Montreal, Canada","institution_ids":["https://openalex.org/I4210142730"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5085810544","display_name":"Catherine R\u00e9gis","orcid":"https://orcid.org/0000-0002-0308-6730"},"institutions":[{"id":"https://openalex.org/I4210142730","display_name":"Centre Hospitalier de l\u2019Universit\u00e9 de Montr\u00e9al","ror":"https://ror.org/0410a8y51","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I4210142730"]},{"id":"https://openalex.org/I70931966","display_name":"Universit\u00e9 de Montr\u00e9al","ror":"https://ror.org/0161xgx34","country_code":"CA","type":"education","lineage":["https://openalex.org/I70931966"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"R\u00e9gis Catherine","raw_affiliation_strings":["Faculty of Law, Universit\u00e9 de Montr\u00e9al, Montreal, Canada","Research Center, Centre hospitalier de l'Universit\u00e9 de Montr\u00e9al, Montreal, Canada"],"affiliations":[{"raw_affiliation_string":"Faculty of Law, Universit\u00e9 de Montr\u00e9al, Montreal, Canada","institution_ids":["https://openalex.org/I70931966"]},{"raw_affiliation_string":"Research Center, Centre hospitalier de l'Universit\u00e9 de Montr\u00e9al, Montreal, Canada","institution_ids":["https://openalex.org/I4210142730"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5023613293"],"corresponding_institution_ids":["https://openalex.org/I4210142730","https://openalex.org/I70931966"],"apc_list":null,"apc_paid":null,"fwci":5.6731,"has_fulltext":false,"cited_by_count":53,"citation_normalized_percentile":{"value":0.97727273,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":95,"max":100},"biblio":{"volume":"270","issue":null,"first_page":"1001","last_page":"1005"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.991100013256073,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.991100013256073,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/workflow","display_name":"Workflow","score":0.6963919997215271},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.6029801964759827},{"id":"https://openalex.org/keywords/knowledge-management","display_name":"Knowledge management","score":0.5527632236480713},{"id":"https://openalex.org/keywords/context","display_name":"Context (archaeology)","score":0.5240899920463562},{"id":"https://openalex.org/keywords/grasp","display_name":"GRASP","score":0.5169107913970947},{"id":"https://openalex.org/keywords/decision-support-system","display_name":"Decision support system","score":0.5019409656524658},{"id":"https://openalex.org/keywords/clinical-decision-support-system","display_name":"Clinical decision support system","score":0.479884535074234},{"id":"https://openalex.org/keywords/process-management","display_name":"Process management","score":0.3692657947540283},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.3449106812477112},{"id":"https://openalex.org/keywords/psychology","display_name":"Psychology","score":0.344396710395813},{"id":"https://openalex.org/keywords/artificial-intelligence","display_name":"Artificial intelligence","score":0.308605432510376},{"id":"https://openalex.org/keywords/business","display_name":"Business","score":0.26173025369644165},{"id":"https://openalex.org/keywords/political-science","display_name":"Political science","score":0.12858274579048157}],"concepts":[{"id":"https://openalex.org/C177212765","wikidata":"https://www.wikidata.org/wiki/Q627335","display_name":"Workflow","level":2,"score":0.6963919997215271},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.6029801964759827},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.5527632236480713},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.5240899920463562},{"id":"https://openalex.org/C171268870","wikidata":"https://www.wikidata.org/wiki/Q1486676","display_name":"GRASP","level":2,"score":0.5169107913970947},{"id":"https://openalex.org/C107327155","wikidata":"https://www.wikidata.org/wiki/Q330268","display_name":"Decision support system","level":2,"score":0.5019409656524658},{"id":"https://openalex.org/C63527458","wikidata":"https://www.wikidata.org/wiki/Q5133829","display_name":"Clinical decision support system","level":3,"score":0.479884535074234},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.3692657947540283},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.3449106812477112},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.344396710395813},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.308605432510376},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.26173025369644165},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.12858274579048157},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0},{"id":"https://openalex.org/C77088390","wikidata":"https://www.wikidata.org/wiki/Q8513","display_name":"Database","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D001185","descriptor_name":"Artificial Intelligence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001185","descriptor_name":"Artificial Intelligence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001185","descriptor_name":"Artificial Intelligence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D002170","descriptor_name":"Canada","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002170","descriptor_name":"Canada","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002170","descriptor_name":"Canada","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004632","descriptor_name":"Emergency Medical Services","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004632","descriptor_name":"Emergency Medical Services","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004632","descriptor_name":"Emergency Medical Services","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.3233/shti200312","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti200312","pdf_url":null,"source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},{"id":"pmid:32570532","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/32570532","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in health technology and informatics","raw_type":null}],"best_oa_location":{"id":"doi:10.3233/shti200312","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti200312","pdf_url":null,"source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2046929026","https://openalex.org/W2779278343","https://openalex.org/W1996434451","https://openalex.org/W1569026615","https://openalex.org/W2791725133","https://openalex.org/W2338117633","https://openalex.org/W2112831187","https://openalex.org/W2122149485","https://openalex.org/W4232131108","https://openalex.org/W2098044946"],"abstract_inverted_index":{"The":[0,121],"development":[1],"of":[2,28,50,57,68,82,95,111,127,158,179,238],"artificial":[3],"intelligence":[4],"(AI)":[5],"systems":[6,24,35,145,203,214],"to":[7,108,115,124,136,154,162,165,198,233],"support":[8,61],"diagnostic":[9],"decision-making":[10],"is":[11,186,223],"rapidly":[12],"expanding":[13],"in":[14,21,64,75,86,146,160,204],"health":[15,147,180,205],"care.":[16,51,148,206,239],"However,":[17],"important":[18],"challenges":[19,141],"remain":[20],"executing":[22],"algorithmic":[23],"at":[25,189],"the":[26,55,65,80,90,93,104,112,125,139,152,177,209,227,234],"frontlines":[27],"clinical":[29],"practice.":[30],"Hence,":[31],"most":[32],"often,":[33],"these":[34,229],"have":[36],"not":[37],"been":[38],"trained":[39],"with":[40,47],"local":[41],"data":[42],"nor":[43],"do":[44],"they":[45,175],"fit":[46],"context-specific":[48],"patterns":[49],"This":[52,184],"research":[53,185],"examines":[54],"implementation":[56],"an":[58,87],"AI-based":[59,202,213],"decision":[60],"system":[62],"(DSS)":[63],"emergency":[66,119],"department":[67],"a":[69,190],"large":[70],"Academic":[71],"Health":[72],"Center":[73],"(AHC)":[74],"Canada,":[76],"focusing":[77],"specifically":[78],"on":[79,103],"question":[81],"end-user":[83],"adoption.":[84],"Based":[85],"interpretative":[88],"perspective,":[89],"study":[91,122],"analyzes":[92],"perceptions":[94,157],"healthcare":[96],"managers,":[97],"AI":[98,144,159,170],"developers,":[99],"physicians":[100],"and":[101,133,168,172,182,200,221,236],"nurses":[102],"DSS,":[105],"so":[106],"as":[107],"make":[109],"sense":[110],"main":[113],"barriers":[114],"its":[116],"adoption":[117],"by":[118,143],"physicians.":[120],"points":[123],"importance":[126],"considering":[128],"interconnections":[129],"between":[130],"technical,":[131],"human":[132],"organizational":[134],"factors":[135],"better":[137],"grasp":[138],"unique":[140],"raised":[142],"It":[149],"further":[150],"emphasizes":[151],"need":[153],"investigate":[155],"actors'":[156],"order":[161],"develop":[163,199],"strategies":[164],"adequately":[166],"test":[167],"adapt":[169],"systems,":[171],"ensure":[173],"that":[174],"meet":[176],"needs":[178],"professionals":[181],"patients.":[183],"particularly":[187],"relevant":[188],"time":[191],"when":[192],"considerable":[193],"investments":[194,230],"are":[195],"being":[196],"made":[197],"deploy":[201],"Empirically":[207],"probing":[208],"conditions":[210],"under":[211],"which":[212],"can":[215,231],"effectively":[216],"be":[217],"integrated":[218],"into":[219],"processes":[220],"workflow":[222],"essential":[224],"for":[225],"maximizing":[226],"benefits":[228],"bring":[232],"organization":[235],"delivery":[237]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":8},{"year":2024,"cited_by_count":13},{"year":2023,"cited_by_count":11},{"year":2022,"cited_by_count":16},{"year":2021,"cited_by_count":3}],"updated_date":"2026-04-18T07:56:08.524223","created_date":"2025-10-10T00:00:00"}