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What may help or hinder the implementation of computerized decision support systems (CDSSs): a focus group study with
Helena Varonen1, Tiina Kortteisto, Minna Kaila
1Department of General Practice and Primary Care, University of Helsinki, Helsinki. helena.varonen@helsinki.fi
Clinicians perceive computerized decision support systems (CDSSs) positively, anticipating benefits like error reduction. Key facilitators include system control and practical help, while barriers involve past system failures and impact on the doctor-patient relationship.
Area of Science:
- Health Informatics
- Clinical Decision Support
- Qualitative Research
Background:
- Computerized decision support systems (CDSSs) offer potential benefits in healthcare.
- Understanding clinician perspectives is crucial for successful CDSS implementation.
Purpose of the Study:
- To identify clinician-perceived barriers and facilitators for implementing CDSSs in healthcare settings.
Main Methods:
- Qualitative focus group study conducted in primary and secondary care settings in Finland.
- 39 physicians were interviewed to identify expectations, barriers, and facilitators regarding CDSS.
Main Results:
- Barriers included negative experiences with prior systems, potential harm to the doctor-patient relationship, unclear responsibilities, threats to autonomy, and increased workload.
- Facilitators involved self-control over CDSS content/frequency and perceived clinical utility for error prevention and workflow improvement.
Conclusions:
- Physicians generally hold positive attitudes towards CDSSs, expecting flexibility, personalization, and reliability.
- Finland's advanced digital practices and use of electronic guidelines may facilitate CDSS adoption.
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