Clinical decision support must be useful, functional is not enough: A qualitative study of computer-based clinical decision support in primary care
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Clinical decision support must be useful, functional is not enough : A qualitative study of computer-based clinical decision support in primary care. / Kortteisto, Tiina; Komulainen, Jorma; Mäkelä, Marjukka; Kunnamo, Ilkka; Kaila, Minna.
In: B M C Health Services Research, Vol. 12, No. 1, 2012, p. 349.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Clinical decision support must be useful, functional is not enough
T2 - A qualitative study of computer-based clinical decision support in primary care
AU - Kortteisto, Tiina
AU - Komulainen, Jorma
AU - Mäkelä, Marjukka
AU - Kunnamo, Ilkka
AU - Kaila, Minna
PY - 2012
Y1 - 2012
N2 - ABSTRACT: BACKGROUND: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: Primary care professionals have to perceive eCDS guidance useful for their work before they use it.
AB - ABSTRACT: BACKGROUND: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: Primary care professionals have to perceive eCDS guidance useful for their work before they use it.
M3 - Journal article
VL - 12
SP - 349
JO - BMC Health Services Research
JF - BMC Health Services Research
SN - 1472-6963
IS - 1
ER -
ID: 45018692