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- Title
For which clinical rules do doctors want decision support, and why? A survey of Dutch general practitioners.
- Authors
Medlock, Stephanie; Eslami, Saeid; Askari, Marjan; van de Glind, Esther M.; Brouwer, Henk J.; van Weert, Henk C.; de Rooij, Sophia E.; Abu-Hanna, Ameen
- 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.
- Subjects
NETHERLANDS; ELDER care; CHI-squared test; CONFIDENCE intervals; STATISTICAL correlation; DECISION support systems; FISHER exact test; FOCUS groups; INFORMATION storage &; retrieval systems; MEDICAL databases; INTERVIEWING; LONGITUDINAL method; MULTIVARIATE analysis; GENERAL practitioners; SURVEYS; DECISION making in clinical medicine; LOGISTIC regression analysis; RULES; PSYCHOSOCIAL factors; SOCIAL support; DATA analysis software; ODDS ratio; MANN Whitney U Test
- Publication
Health Informatics Journal, 2019, Vol 25, Issue 3, p1076
- ISSN
1460-4582
- Publication type
Article
- DOI
10.1177/1460458217740407