General practitioners’ attitudes and preparedness towards Clinical Decision Support in e-prescribing (CDS-eP) adoption in the West of Ireland : a cross sectional study

Hdl Handle:
http://hdl.handle.net/10147/93567
Title:
General practitioners’ attitudes and preparedness towards Clinical Decision Support in e-prescribing (CDS-eP) adoption in the West of Ireland : a cross sectional study
Authors:
Hor, Chee Peng; O'Donnell, James M; Murphy, Andrew W; O'Brien, Timothy; Kropmans,Thomas JB
Affiliation:
National University of Ireland, Galway, Clinical Science Institute, Galway
Publisher:
Biomed Central
Journal:
BMC Medical Informatics and Decision Making
Issue Date:
2010
URI:
http://hdl.handle.net/10147/93567
DOI:
10.1186/1472-6947-10-2
Additional Links:
http://www.ncbi.nlm.nih.gov/pubmed/20067624?itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum&ordinalpos=10
Item Type:
Article
Language:
en
Description:
Background: Electronic clinical decision support (CDS) is increasingly establishing its role in evidence-based clinical practice. Considerable evidence supports its enhancement of efficiency in e-Prescribing, but some controversy remains. This study evaluated the practicality and identified the perceived benefits of, and barriers to, its future adoption in the West of Ireland. Methods: This cross sectional study was carried out by means of a 27-part questionnaire sent to 262 registered general practitioners in Counties Galway, Mayo and Roscommon. The survey domains encompassed general information of individual’s practice, current use of CDS and the practitioner’s attitudes towards adoption of CDS-eP. Descriptive and inferential analyses were performed to analyse the data collected. Results: The overall response rate was 37%. Nearly 92% of respondents employed electronic medical records in their practice. The majority acknowledged the value of electronic CDS in improving prescribing quality (71%) and reducing prescribing errors (84%). Despite a high degree of unfamiliarity (73%), the practitioners were open to the use of CDS-eP (94%) and willing to invest greater resources for its implementation (62%). Lack of a strategic implementation plan (78%) is the main perceived barrier to the incorporation of CDS-eP into clinical practice, followed by i) lack of financial incentives (70%), ii) lack of standardized product software (61%), iii) high sensitivity of drug-drug interaction or medication allergy markers (46%), iv) concern about overriding physicians’ prescribing decisions(44%) and v) lack of convincing evidence on the systems’ effectiveness (22%). Conclusions: Despite favourable attitudes towards the adoption of CDS-eP, multiple perceived barriers impede its incorporation into clinical practice. These merit further exploration, taking into consideration the structure of the Irish primary health care system, before CDS-eP can be recommended for routine clinical use in the West of Ireland
Keywords:
Clinical Decision Support Systems; e-prescribing; GENERAL PRACTICE; EVIDENCE BASED PRACTICE
ISSN:
14726947

Full metadata record

DC FieldValue Language
dc.contributor.authorHor, Chee Pengen
dc.contributor.authorO'Donnell, James Men
dc.contributor.authorMurphy, Andrew Wen
dc.contributor.authorO'Brien, Timothyen
dc.contributor.authorKropmans,Thomas JBen
dc.date.accessioned2010-03-03T15:48:06Z-
dc.date.available2010-03-03T15:48:06Z-
dc.date.issued2010-
dc.identifier.issn14726947-
dc.identifier.doi10.1186/1472-6947-10-2-
dc.identifier.urihttp://hdl.handle.net/10147/93567-
dc.descriptionBackground: Electronic clinical decision support (CDS) is increasingly establishing its role in evidence-based clinical practice. Considerable evidence supports its enhancement of efficiency in e-Prescribing, but some controversy remains. This study evaluated the practicality and identified the perceived benefits of, and barriers to, its future adoption in the West of Ireland. Methods: This cross sectional study was carried out by means of a 27-part questionnaire sent to 262 registered general practitioners in Counties Galway, Mayo and Roscommon. The survey domains encompassed general information of individual’s practice, current use of CDS and the practitioner’s attitudes towards adoption of CDS-eP. Descriptive and inferential analyses were performed to analyse the data collected. Results: The overall response rate was 37%. Nearly 92% of respondents employed electronic medical records in their practice. The majority acknowledged the value of electronic CDS in improving prescribing quality (71%) and reducing prescribing errors (84%). Despite a high degree of unfamiliarity (73%), the practitioners were open to the use of CDS-eP (94%) and willing to invest greater resources for its implementation (62%). Lack of a strategic implementation plan (78%) is the main perceived barrier to the incorporation of CDS-eP into clinical practice, followed by i) lack of financial incentives (70%), ii) lack of standardized product software (61%), iii) high sensitivity of drug-drug interaction or medication allergy markers (46%), iv) concern about overriding physicians’ prescribing decisions(44%) and v) lack of convincing evidence on the systems’ effectiveness (22%). Conclusions: Despite favourable attitudes towards the adoption of CDS-eP, multiple perceived barriers impede its incorporation into clinical practice. These merit further exploration, taking into consideration the structure of the Irish primary health care system, before CDS-eP can be recommended for routine clinical use in the West of Irelanden
dc.language.isoenen
dc.publisherBiomed Centralen
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed/20067624?itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_RVDocSum&ordinalpos=10en
dc.subjectClinical Decision Support Systemsen
dc.subjecte-prescribingen
dc.subjectGENERAL PRACTICEen
dc.subjectEVIDENCE BASED PRACTICEen
dc.titleGeneral practitioners’ attitudes and preparedness towards Clinical Decision Support in e-prescribing (CDS-eP) adoption in the West of Ireland : a cross sectional studyen
dc.typeArticleen
dc.contributor.departmentNational University of Ireland, Galway, Clinical Science Institute, Galwayen
dc.identifier.journalBMC Medical Informatics and Decision Makingen
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