Clinical decision support must be useful, functional is not enough: A qualitative study of computer-based clinical decision support in primary care

Research output: Contribution to journalJournal articleResearchpeer-review

Tiina Kortteisto, Jorma Komulainen, Marjukka Mäkelä, Ilkka Kunnamo, Minna Kaila

ABSTRACT: BACKGROUND: Health information technology, particularly electronic decision support systems, can reduce the existing gap between evidence-based knowledge and health care practice but professionals have to accept and use this information. Evidence is scant on which features influence the use of computer-based clinical decision support (eCDS) in primary care and how different professional groups experience it. Our aim was to describe specific reasons for using or not using eCDS among primary care professionals.

METHODS: The setting was a Finnish primary health care organization with 48 professionals receiving patient-specific guidance at the point of care. Multiple data (focus groups, questionnaire and spontaneous feedback) were analyzed using deductive content analysis and descriptive statistics.

RESULTS: The content of the guidance is a significant feature of the primary care professional's intention to use eCDS. The decisive reason for using or not using the eCDS is its perceived usefulness. Functional characteristics such as speed and ease of use are important but alone these are not enough. Specific information technology, professional, patient and environment features can help or hinder the use.

CONCLUSIONS: Primary care professionals have to perceive eCDS guidance useful for their work before they use it.

Original languageEnglish
JournalB M C Health Services Research
Volume12
Issue number1
Pages (from-to)349
Number of pages1
ISSN1472-6963
Publication statusPublished - 2012

ID: 45018692