Clinical versus mechanical prediction: a meta-analysis
Abstract
The process of making judgments and decisions requires a method for combining data. To compare the accuracy of clinical and mechanical (formal, statistical) data-combination techniques, we performed a meta-analysis on studies of human health and behavior. On average, mechanical-prediction techniques were about 10% more accurate than clinical predictions. Depending on the specific analysis, mechanical prediction substantially outperformed clinical prediction in 33%-47% of studies examined. Although clinical predictions were often as accurate as mechanical predictions, in only a few studies (6%-16%) were they substantially more accurate. Superiority for mechanical-prediction techniques was consistent, regardless of the judgment task, type of judges, judges' amounts of experience, or the types of data being combined. Clinical predictions performed relatively less well when predictors included clinical interview data. These data indicate that mechanical predictions of human behaviors are equal or superior to clinical prediction methods for a wide range of circumstances.
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Many clinicians assume that intuition and judgement are more important determinants of a positive outcome than the material in manuals, despite evidence to the contrary.
“That is, many clinicians assume that intuition and judgement are more important determinants of a positive outcome than the material in manuals, despite evidence to the contrary (Grove et al., 2000).”
From To deliver or not to deliver cognitive behavioral therapy for eating disorders: Replication and extension of our understanding of why therapists fail to do what they should do (2018) · cites this paper as Grove et al., 2000
There is no evidence that clinician judgement is more effective according to one's profession, level of training, or duration of experience.
“Furthermore, there was no evidence that clinician judgement is more effective according to one's profession, level of training, or duration of experience”
From Therapist drift redux: Why well-meaning clinicians fail to deliver evidence-based therapy, and how to get back on track (2016) · cites this paper as Grove et al., 2000
Age and experience are not enough to ensure that we improve, and might be more closely related to drift from evidence-based methods and weaker patient outcomes.
“Age and experience are not enough to ensure that we improve, and might be more closely related to drift from evidence-based methods and weaker patient outcomes”
From Therapist drift redux: Why well-meaning clinicians fail to deliver evidence-based therapy, and how to get back on track (2016) · cites this paper as Grove et al., 2000
Some apparent markers of quality, including level of experience and accreditation, are of dubious worth for delivering evidence-based therapies robustly.
“We also know that some apparent markers of quality are of dubious worth when it comes to delivering evidencebased therapies robustly, including our level of experience and accreditation (e.g., Brosan, Reynolds & Moore, 2006; Grove et al., 2000).”
From Therapist drift redux: Why well-meaning clinicians fail to deliver evidence-based therapy, and how to get back on track (2016) · cites this paper as Grove et al., 2000
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Algorithm aversion: People erroneously avoid algorithms after seeing them err.
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“…of recidivism (Thompson, 1952; Wormith & Goldstone, 1984), medical diagnoses (Adams et al., 1986; Beck et al., 2011; Dawes, Faust, & Meehl, 1989; Grove et al., 2000), demand for products (Schweitzer & Cachon, 2000), and so on (for reviews see Dawes et al., 1989; Grove et al., 2000; Meehl, 1954).”
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- Authors
- Grove, W. M., Zald, D. H., Lebow, B. S., Snitz, B. E., & Nelson, C.
- Affiliations
- University of Minnesota (US)
- Venue
- Psychological Assessment
- Published
- 2000
- Volume
- 12
- Issue
- 1
- Pages
- 19-30
- ISSN
- 1040-3590 (ISSN-L)
- 1939-134X
- OpenAlex
- W2168729696
- Cited by
- 1,640
- References
- 183
- Citations by year
- 2026: 38 · 2025: 46 · 2024: 63 · 2023: 76 · 2022: 79 · 2021: 114 · 2020: 101 · 2019: 67 · 2018: 82 · 2017: 84 · 2016: 73 · 2015: 84 · 2014: 92 · 2013: 81 · 2012: 64
- FWCI
- 6.60
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychological Assessment (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
- Social Sciences › Decision Sciences › General Decision Sciences › Decision-Making and Behavioral Economics
- Social Sciences › Decision Sciences › Management Science and Operations Research › Forecasting Techniques and Applications
- Keywords
- clinical prediction, prediction accuracy, data combination, judgment and decision making, human behavior prediction
- MeSH terms
- Decision Making, Computer-Assisted, Diagnosis, Computer-Assisted, Humans, Mathematical Computing, Reproducibility of Results
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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