For which clinical rules do doctors want decision support, and why? A survey of Dutch general practitioners

Medlock, S. and Eslami, S. and Askari, M. and Arts, D. L. and van de Glind, E. M. and Brouwer, H. J. and van Weert, H. C. and de Rooij, S. E. and Abu-Hanna, A. (2019) For which clinical rules do doctors want decision support, and why? A survey of Dutch general practitioners. Health Informatics Journal, 25 (3). pp. 1076-1090.

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Abstract

Despite the promise of decision support for improving care, alerts are often overridden or ignored. We evaluated Dutch general practitioners’ intention to accept decision support in a proposed implementation based on clinical rules regarding care for elderly patients, and their reasons for wanting or not wanting support. We developed a survey based on literature and structured interviews and distributed it to all doctors who would receive support in the proposed implementation (n = 43), of which 65 percent responded. The survey consisted of six questions for each of 20 clinical rules. Despite concerns about interruption, doctors tended to choose more interruptive forms of support. Doctors wanted support when they felt the rule represented minimal care, perceived a need to improve care, and felt responsible for the action and that they might forget to perform the action; doctors declined support due to feeling that it was unnecessary and due to concerns about interruption. © The Author(s) 2017.

Item Type: Article
Additional Information: Export Date: 16 February 2020 CODEN: HIJEA Correspondence Address: Medlock, S.; Amsterdam Public Health Research InstituteNetherlands; email: s.k.medlock@amc.uva.nl
Uncontrolled Keywords: clinical decision support systems general practitioners medication alert systems surveys aged article clinical article decision support system female general practitioner human male structured interview
Subjects: WB Practice of Medicine
Divisions: Mashhad University of Medical Sciences
Depositing User: mr lib1 lib1
Date Deposited: 21 Jun 2020 07:36
Last Modified: 21 Jun 2020 07:36
URI: http://eprints.mums.ac.ir/id/eprint/18500

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