Imperial College London


Faculty of MedicineSchool of Public Health

Research Fellow in Public Health



+44 (0)20 7594 8595g.greenfield Website




314Reynolds BuildingCharing Cross Campus






BibTex format

author = {Vashitz, G and Meyer, J and Parmet, Y and Peleg, R and Goldfarb, D and Porath, A and Gilutz, H},
doi = {10.1016/j.jbi.2008.10.001},
journal = {J Biomed Inform},
pages = {317--326},
title = {Defining and measuring physicians' responses to clinical reminders},
url = {},
volume = {42},
year = {2009}

RIS format (EndNote, RefMan)

AB - Decision-support systems, and specifically rule-based clinical reminders, are becoming common in medical practice. Despite their potential to improve clinical outcomes, physicians do not always use information from these systems. Concepts from the cognitive engineering literature on users' responses to warning systems may help to define physicians' responses to reminders. Based on this literature, we suggest an exhaustive set of possible responses to clinical reminders, consisting of four responses named "Compliance", "Reliance", "Spillover" and "Reactance". We suggest statistical measures to estimate these responses and empirically demonstrate them on data from a large-scale clinical reminder system for secondary prevention of cardiovascular diseases. There was evidence for Compliance, probably since the physicians found the reminders informative, but not for Reliance, in line with the notion that Compliance and Reliance are two distinct types of trust in information from decision-support systems. Our research supports the notion that CDSS can promote closing the treatment gap and improve physicians' adherence to guidelines.
AU - Vashitz,G
AU - Meyer,J
AU - Parmet,Y
AU - Peleg,R
AU - Goldfarb,D
AU - Porath,A
AU - Gilutz,H
DO - 10.1016/j.jbi.2008.10.001
EP - 326
PY - 2009///
SN - 1532-0480
SP - 317
TI - Defining and measuring physicians' responses to clinical reminders
T2 - J Biomed Inform
UR -
UR -
VL - 42
ER -