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[Blood pressure records in general practice--expectations and reality].
E Dalen1, T E Widerøe, I Hetlevik
1Seksjon for nyresykdommer Medisinsk avdeling Regionsykehuset i Trondheim 7006 Trondheim.
Summary
Implementing computer-based clinical decision support systems in primary care is challenging. Doctors require systems that are available, simple, and financially compensated for effective use in managing hypertension.
Area of Science:
- Health Informatics
- Primary Care Medicine
- Clinical Decision Support
Context:
- Antihypertensive medication efficacy relies on controlled studies.
- Translating clinical study quality to primary care requires comparable management.
- Hypertension management quality in practice is key for treatment effectiveness.
Purpose:
- To implement a computer-based clinical decision support system for hypertension management in Norwegian primary care.
- To survey doctors' expectations regarding the implementation strategy of this system.
- To evaluate the implementation outcomes and compare them with doctors' initial expectations.
Summary:
- A computer-based clinical decision support system was implemented in primary care, with low physician participation and adherence.
- Only 37% of invited doctors agreed to participate, and only six of 74 continued using the system after 12 months.
- Physicians surveyed had overestimated acceptance rates, and their questionnaire responses were unreliable.
Impact:
- Computer-based clinical decision support system implementation faces significant hurdles in busy primary care settings.
- System availability and simplicity are critical for adoption.
- Financial compensation may be necessary to incentivize physician use of such systems.