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Physician Perspectives on Implementation of Real-Time Benefit Tools: A Qualitative Study
Jordan Everson1,2, Christine C Whitmore2, T Joseph Mattingly3
1Office of the National Coordinator for Health Information Technology, Washington, District of Columbia, United States.
Physicians see value in real-time benefit tools (RTBTs) for medication costs but worry about accuracy and workflow integration. Further design is needed to ensure these tools effectively help select low-cost medications.
Area of Science:
- Health Informatics
- Clinical Decision Support
- Health Economics
Background:
- Real-Time Benefit Tools (RTBTs) are mandated by Congress and Medicare to lower medication costs.
- Physicians' perspectives are crucial for optimizing RTBT implementation in clinical practice.
Purpose of the Study:
- To explore physicians' views on how RTBTs can best facilitate the selection of cost-effective medications.
- To identify potential barriers and facilitators for effective RTBT use in prescribing.
Main Methods:
- Conducted 15 semi-structured interviews with physicians across various specialties (oncology, endocrinology, rheumatology, internal medicine).
- Utilized thematic analysis to identify key insights from physician interviews regarding RTBTs.
Main Results:
- Physicians acknowledged the potential benefits of RTBTs for medication pricing but expressed concerns about data accuracy and complexity.
- Concerns were raised regarding the timely availability of price information, especially for complex prescribing decisions.
- Integration into electronic health records and potential workflow disruptions were common worries.
Conclusions:
- Physicians recognize the value of RTBTs but highlight the need for improved accuracy, timely information delivery, and user-friendly design.
- Addressing concerns related to the "Five Rights of Clinical Decision Support" is essential for successful RTBT implementation.
- Significant design and development efforts are required to ensure RTBTs translate into improved prescribing of low-cost medications.
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