Patient-Centered Clinical Decision Support-Where Are We and Where to Next?

Area of Science:

• Digital Health
• Health Informatics
• Clinical Decision Support

Background:

• Patient-centered clinical decision support (PC CDS) involves digital tools aiding healthcare decisions by integrating patient-specific factors.
• PC CDS encompasses four key components: knowledge, data, delivery, and use, aiming to enhance patient-centeredness.

Approach:

• A comprehensive literature review of 175 peer-reviewed and grey literature sources was conducted.
• Eighteen key informant interviews were performed to gather in-depth insights.

Key Points:

• Research is needed on incorporating patient input into PC CDS guideline selection and prioritization.
• Challenges exist in developing, implementing, and optimizing PC CDS tools for diverse settings.
• Technical hurdles in capturing patient-contributed data require further investigation.

Conclusions:

• Progress in PC CDS components is evident, but significant gaps persist in achieving true patient-centeredness.
• Further research and development are crucial to optimize PC CDS for patients and caregivers.