Does Involving Clinicians in Decision Support Development Facilitate System Use Over Time? A Systematic Review

Area of Science:

• Health Informatics
• Human-Computer Interaction
• Clinical Decision Support Systems

Background:

• Clinician involvement in Clinical Decision Support (CDS) system design is believed to enhance user needs alignment.
• However, the actual impact of this involvement on CDS acceptance and real-world use remains under-investigated.

Approach:

• This systematic review identified methods of clinician engagement in CDS development.
• It analyzed how these methods influence barriers and facilitators to CDS acceptance and use in hospitals over time.

Key Points:

• Twenty-three studies were included; clinician involvement details were often sparse, and no comparative studies were found.
• Despite reported ease of use, significant barriers to CDS acceptance and utilization persisted post-implementation and years later.

Conclusions:

• Future research must detail clinician involvement in CDS development to understand its long-term impact on acceptance and use.
• Recommendations include comparative studies and sustained clinician engagement beyond initial implementation.