A group decision support system framework for medical decision making incorporating cognitive-aid structures and cognitive appropriation

A group decision support system (GDSS) framework to support medical decision making (MDM) based on cognitive characteristics incorporating clinical reasoning and problem solving features is presented. The role of cognitive processes which are inherent in MDM has influenced the development of this framework. The three key components of this framework are: “cognitive aid structures”, “cognitive appropriation” and “GDSS support structures”. Cognitive aid structures incorporate technology elements to support cognitive processes encountered in MDM. A. Gidden´s (1976) “Structuration Theory” has influenced the development of the “cognitive appropriation” mechanism. J.P. Guilford´s (1956) “Theory of the Intellect” has been used to structure parts of the GDSS processes and group outcome. A comparison of the features of the proposed GDSS framework with major GDSS research frameworks is also presented