General practitioners’ needs and wishes for clinical decision support systems
| العنوان: | General practitioners’ needs and wishes for clinical decision support systems |
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| المؤلفون: | Leonie Westerbeek, Gert-Jan de Bruijn, Henk C. van Weert, Ameen Abu-Hanna, Stephanie Medlock, Julia C.M. van Weert |
| المساهمون: | APH - Aging & Later Life, General practice, APH - Personalized Medicine, APH - Quality of Care, Medical Informatics, APH - Methodology, ACS - Heart failure & arrhythmias, Persuasive Communication (ASCoR, FMG) |
| المصدر: | International journal of medical informatics International journal of medical informatics, 168:104901. Elsevier Ireland Ltd International Journal of Medical Informatics, 168:104901. Elsevier |
| بيانات النشر: | Elsevier, 2022. |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Computer. Automation, General Practitioner, User-centered design, General Practice, Health Informatics, Focus Groups, Clinical decision support system, Decision Support Systems, Clinical, General Practitioners, Medication-related fall risk, Qualitative research, Mass communications, Humans, Human medicine, Family Practice |
| الوصف: | Background: Shared decision making (SDM) can be beneficial for patients and healthcare professionals, but is often not applied in practice. A clinical decision support system (CDSS) can facilitate SDM. However, CDSS acceptance rates are rather low. One context in which SDM between a general practitioner (GP) and patient regarding medication can be of great value is older patients’ medication-related fall risk. Applying user-centered design to optimally tailor the CDSS to the needs and wishes of GPs can help overcome the low CDSS-acceptance rates. The current study aims to learn GPs’ needs and wishes for a CDSS focused on diminishing medication-related fall risk.Materials and Methods: Participants were recruited through the Amsterdam Academic Network of General Practice and were sent a web-lecture as preparation. Three online focus groups with a total of 13 GPs were performed and were led by two moderators. The focus groups were recorded and transcribed verbatim. Transcripts were analyzed using Atlas.ti.Results: GPs’ views on the workflow, risk presentation and advice of the system were elicited. The fit with the GPs’ workflow was elaborately discussed, for instance how the CDSS could support the selection of patients at risk. GPs articulated a strong preference for a visual risk presentation, in the form of a gradient scale ranging from bright green to dark red. Furthermore, they preferred receiving both medication-related and non-medication-related advice, which should be presented on request.Discussion: The findings provide a valuable insight into GPs’ needs and wishes for a CDSS focused on medication-related fall prevention. This will inform the design of a first prototype of the CDSS which will be subjected to usability tests. The findings of this study can also be used to support the development of medication-related CDSSs in a broader context. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 1872-8243 1386-5056 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::cd15b75be923b8acde577e26080839a9 https://dare.uva.nl/personal/pure/en/publications/general-practitioners-needs-and-wishes-for-clinical-decision-support-systems(d2874437-2cfa-4bcd-bb32-200dfeda8ab9).html |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....cd15b75be923b8acde577e26080839a9 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 18728243 13865056 |
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