For which clinical rules do doctors want decision support, and why? A survey of Dutch general practitioners
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.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2019 |
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| Erschienen: |
2019 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:25 |
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| Enthalten in: |
Health informatics journal - 25(2019), 3 vom: 01. Sept., Seite 1076-1090 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Medlock, Stephanie [VerfasserIn] |
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| Links: |
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| Themen: |
Clinical |
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| Anmerkungen: |
Date Completed 16.07.2020 Date Revised 16.07.2020 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1177/1460458217740407 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM278145728 |
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| 520 | |a 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 | ||
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| 700 | 1 | |a van de Glind, Esther M |e verfasserin |4 aut | |
| 700 | 1 | |a Brouwer, Henk J |e verfasserin |4 aut | |
| 700 | 1 | |a van Weert, Henk C |e verfasserin |4 aut | |
| 700 | 1 | |a de Rooij, Sophia E |e verfasserin |4 aut | |
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