Clinical decision support must be useful, functional is not enough: a qualitative study of computer-based clinical decision support in primary care
<p>Abstract</p> <p>Background</p> <p>Health information technology, particularly electronic decision support systems, can reduce the existing gap between evidence-based knowledge and health care practice but professionals have to accept and use this information. Evidenc...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2012-10-01
|
| Series: | BMC Health Services Research |
| Online Access: | http://www.biomedcentral.com/1472-6963/12/349 |
| _version_ | 1818664526790262784 |
|---|---|
| author | Kortteisto Tiina Komulainen Jorma Mäkelä Marjukka Kunnamo Ilkka Kaila Minna |
| author_facet | Kortteisto Tiina Komulainen Jorma Mäkelä Marjukka Kunnamo Ilkka Kaila Minna |
| author_sort | Kortteisto Tiina |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Health information technology, particularly electronic decision support systems, can reduce the existing gap between evidence-based knowledge and health care practice but professionals have to accept and use this information. Evidence is scant on which features influence the use of computer-based clinical decision support (eCDS) in primary care and how different professional groups experience it. Our aim was to describe specific reasons for using or not using eCDS among primary care professionals.</p> <p>Methods</p> <p>The setting was a Finnish primary health care organization with 48 professionals receiving patient-specific guidance at the point of care. Multiple data (focus groups, questionnaire and spontaneous feedback) were analyzed using deductive content analysis and descriptive statistics.</p> <p>Results</p> <p>The content of the guidance is a significant feature of the primary care professional’s intention to use eCDS. The decisive reason for using or not using the eCDS is its perceived usefulness. Functional characteristics such as speed and ease of use are important but alone these are not enough. Specific information technology, professional, patient and environment features can help or hinder the use.</p> <p>Conclusions</p> <p>Primary care professionals have to perceive eCDS guidance useful for their work before they use it.</p> |
| first_indexed | 2024-12-17T05:34:09Z |
| format | Article |
| id | doaj.art-fe7b0744f54c4f3ea4e8feae3cdc2244 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-17T05:34:09Z |
| publishDate | 2012-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-fe7b0744f54c4f3ea4e8feae3cdc22442022-12-21T22:01:39ZengBMCBMC Health Services Research1472-69632012-10-0112134910.1186/1472-6963-12-349Clinical decision support must be useful, functional is not enough: a qualitative study of computer-based clinical decision support in primary careKortteisto TiinaKomulainen JormaMäkelä MarjukkaKunnamo IlkkaKaila Minna<p>Abstract</p> <p>Background</p> <p>Health information technology, particularly electronic decision support systems, can reduce the existing gap between evidence-based knowledge and health care practice but professionals have to accept and use this information. Evidence is scant on which features influence the use of computer-based clinical decision support (eCDS) in primary care and how different professional groups experience it. Our aim was to describe specific reasons for using or not using eCDS among primary care professionals.</p> <p>Methods</p> <p>The setting was a Finnish primary health care organization with 48 professionals receiving patient-specific guidance at the point of care. Multiple data (focus groups, questionnaire and spontaneous feedback) were analyzed using deductive content analysis and descriptive statistics.</p> <p>Results</p> <p>The content of the guidance is a significant feature of the primary care professional’s intention to use eCDS. The decisive reason for using or not using the eCDS is its perceived usefulness. Functional characteristics such as speed and ease of use are important but alone these are not enough. Specific information technology, professional, patient and environment features can help or hinder the use.</p> <p>Conclusions</p> <p>Primary care professionals have to perceive eCDS guidance useful for their work before they use it.</p>http://www.biomedcentral.com/1472-6963/12/349 |
| spellingShingle | Kortteisto Tiina Komulainen Jorma Mäkelä Marjukka Kunnamo Ilkka Kaila Minna Clinical decision support must be useful, functional is not enough: a qualitative study of computer-based clinical decision support in primary care BMC Health Services Research |
| title | Clinical decision support must be useful, functional is not enough: a qualitative study of computer-based clinical decision support in primary care |
| title_full | Clinical decision support must be useful, functional is not enough: a qualitative study of computer-based clinical decision support in primary care |
| title_fullStr | Clinical decision support must be useful, functional is not enough: a qualitative study of computer-based clinical decision support in primary care |
| title_full_unstemmed | Clinical decision support must be useful, functional is not enough: a qualitative study of computer-based clinical decision support in primary care |
| title_short | Clinical decision support must be useful, functional is not enough: a qualitative study of computer-based clinical decision support in primary care |
| title_sort | clinical decision support must be useful functional is not enough a qualitative study of computer based clinical decision support in primary care |
| url | http://www.biomedcentral.com/1472-6963/12/349 |
| work_keys_str_mv | AT kortteistotiina clinicaldecisionsupportmustbeusefulfunctionalisnotenoughaqualitativestudyofcomputerbasedclinicaldecisionsupportinprimarycare AT komulainenjorma clinicaldecisionsupportmustbeusefulfunctionalisnotenoughaqualitativestudyofcomputerbasedclinicaldecisionsupportinprimarycare AT makelamarjukka clinicaldecisionsupportmustbeusefulfunctionalisnotenoughaqualitativestudyofcomputerbasedclinicaldecisionsupportinprimarycare AT kunnamoilkka clinicaldecisionsupportmustbeusefulfunctionalisnotenoughaqualitativestudyofcomputerbasedclinicaldecisionsupportinprimarycare AT kailaminna clinicaldecisionsupportmustbeusefulfunctionalisnotenoughaqualitativestudyofcomputerbasedclinicaldecisionsupportinprimarycare |