arriba-lib: evaluation of an electronic library of decision aids in primary care physicians
<p>Abstract</p> <p>Background</p> <p>The successful implementation of decision aids in clinical practice initially depends on how clinicians perceive them. Relatively little is known about the acceptance of decision aids by physicians and factors influencing the impleme...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2012-06-01
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| Series: | BMC Medical Informatics and Decision Making |
| Online Access: | http://www.biomedcentral.com/1472-6947/12/48 |
| _version_ | 1819177136637870080 |
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| author | Hirsch Oliver Keller Heidemarie Krones Tanja Donner-Banzhoff Norbert |
| author_facet | Hirsch Oliver Keller Heidemarie Krones Tanja Donner-Banzhoff Norbert |
| author_sort | Hirsch Oliver |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>The successful implementation of decision aids in clinical practice initially depends on how clinicians perceive them. Relatively little is known about the acceptance of decision aids by physicians and factors influencing the implementation of decision aids from their point of view. Our electronic library of decision aids (arriba-lib) is to be used within the encounter and has a modular structure containing evidence-based decision aids for the following topics: cardiovascular prevention, atrial fibrillation, coronary heart disease, oral antidiabetics, conventional and intensified insulin therapy, and unipolar depression. The aim of our study was to evaluate the acceptance of arriba-lib in primary care physicians.</p> <p>Methods</p> <p>We conducted an evaluation study in which 29 primary care physicians included 192 patients. The physician questionnaire contained information on which module was used, how extensive steps of the shared decision making process were discussed, who made the decision, and a subjective appraisal of consultation length. We used generalised estimation equations to measure associations within patient variables and traditional crosstab analyses.</p> <p>Results</p> <p>Only a minority of consultations (8.9%) was considered to be unacceptably extended. In 90.6% of consultations, physicians said that a decision could be made. A shared decision was perceived by physicians in 57.1% of consultations. Physicians said that a decision was more likely to be made when therapeutic options were discussed “detailed”. Prior experience with decision aids was not a critical variable for implementation within our sample of primary care physicians.</p> <p>Conclusions</p> <p>Our study showed that it might be feasible to apply our electronic library of decision aids (arriba-lib) in the primary care context. Evidence-based decision aids offer support for physicians in the management of medical information. Future studies should monitor the long-term adoption of arriba-lib in primary care physicians.</p> |
| first_indexed | 2024-12-22T21:21:52Z |
| format | Article |
| id | doaj.art-0ea9afca99ec45cb8b014ea3d9dd025e |
| institution | Directory Open Access Journal |
| issn | 1472-6947 |
| language | English |
| last_indexed | 2024-12-22T21:21:52Z |
| publishDate | 2012-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Medical Informatics and Decision Making |
| spelling | doaj.art-0ea9afca99ec45cb8b014ea3d9dd025e2022-12-21T18:12:11ZengBMCBMC Medical Informatics and Decision Making1472-69472012-06-011214810.1186/1472-6947-12-48arriba-lib: evaluation of an electronic library of decision aids in primary care physiciansHirsch OliverKeller HeidemarieKrones TanjaDonner-Banzhoff Norbert<p>Abstract</p> <p>Background</p> <p>The successful implementation of decision aids in clinical practice initially depends on how clinicians perceive them. Relatively little is known about the acceptance of decision aids by physicians and factors influencing the implementation of decision aids from their point of view. Our electronic library of decision aids (arriba-lib) is to be used within the encounter and has a modular structure containing evidence-based decision aids for the following topics: cardiovascular prevention, atrial fibrillation, coronary heart disease, oral antidiabetics, conventional and intensified insulin therapy, and unipolar depression. The aim of our study was to evaluate the acceptance of arriba-lib in primary care physicians.</p> <p>Methods</p> <p>We conducted an evaluation study in which 29 primary care physicians included 192 patients. The physician questionnaire contained information on which module was used, how extensive steps of the shared decision making process were discussed, who made the decision, and a subjective appraisal of consultation length. We used generalised estimation equations to measure associations within patient variables and traditional crosstab analyses.</p> <p>Results</p> <p>Only a minority of consultations (8.9%) was considered to be unacceptably extended. In 90.6% of consultations, physicians said that a decision could be made. A shared decision was perceived by physicians in 57.1% of consultations. Physicians said that a decision was more likely to be made when therapeutic options were discussed “detailed”. Prior experience with decision aids was not a critical variable for implementation within our sample of primary care physicians.</p> <p>Conclusions</p> <p>Our study showed that it might be feasible to apply our electronic library of decision aids (arriba-lib) in the primary care context. Evidence-based decision aids offer support for physicians in the management of medical information. Future studies should monitor the long-term adoption of arriba-lib in primary care physicians.</p>http://www.biomedcentral.com/1472-6947/12/48 |
| spellingShingle | Hirsch Oliver Keller Heidemarie Krones Tanja Donner-Banzhoff Norbert arriba-lib: evaluation of an electronic library of decision aids in primary care physicians BMC Medical Informatics and Decision Making |
| title | arriba-lib: evaluation of an electronic library of decision aids in primary care physicians |
| title_full | arriba-lib: evaluation of an electronic library of decision aids in primary care physicians |
| title_fullStr | arriba-lib: evaluation of an electronic library of decision aids in primary care physicians |
| title_full_unstemmed | arriba-lib: evaluation of an electronic library of decision aids in primary care physicians |
| title_short | arriba-lib: evaluation of an electronic library of decision aids in primary care physicians |
| title_sort | arriba lib evaluation of an electronic library of decision aids in primary care physicians |
| url | http://www.biomedcentral.com/1472-6947/12/48 |
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