Identifying barriers to implementing a cardiovascular computerised decision support system (CDSS): a Delphi survey.

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dc.contributor.authorWilson, A.
dc.contributor.authorOpolski, M.
dc.date.issued2009
dc.description.abstractPURPOSE: This paper reports an evaluation of stakeholders' perspectives and recommendations for the dissemination of a cardiovascular computerised decision support system (CDSS) program. METHODS: A literature review of dissemination models for health information and decision support aids was undertaken to develop a semi-structured interview protocol outlining a range of dissemination models for distribution. A cross section of eight health professionals and three corporate managers were interviewed to provide as broad a view as possible of eight dissemination models. Data were collected via two questionnaires incorporating the Delphi technique. Perspectives from the corporate managers were collected by telephone interview. RESULTS: Financial incentive was the most highly rated dissemination method, followed by joint promotion with a professional body and undergraduate medical education. The lowest average rating was for dividing the program into separate components. Participants provided five other suggestions for dissemination. Suggestions for further exploration include the development of a multi-professional model comprising two or more approaches that is piloted and evaluated. CONCLUSION: Our results provide beneficial information on the potential dissemination of computer decision support systems to health professionals whose uptake of CDSS has not previously been explored. Whether use of a shared decision aid impacts on the decisions made by health professionals working in a team is, however, less evident.
dc.description.statementofresponsibilityWilson, A. and Opolski, M.
dc.description.urihttp://www.ncbi.nlm.nih.gov/pubmed/19490770
dc.identifier.citationInformatics In Primary Care, 2009; 17(1):23-33
dc.identifier.doi10.14236/jhi.v17i1.711
dc.identifier.issn1476-0320
dc.identifier.issn1475-9985
dc.identifier.orcidWilson, A. [0000-0001-7102-2926] [0000-0003-1098-8457]
dc.identifier.orcidOpolski, M. [0000-0001-5424-4738]
dc.identifier.urihttp://hdl.handle.net/2440/55173
dc.language.isoen
dc.publisherRadcliffe Publishing Ltd.
dc.source.urihttp://dx.doi.org/10.14236/jhi.v17i1.711
dc.subjectHumans
dc.subjectCardiovascular Diseases
dc.subjectDiffusion of Innovation
dc.subjectDelphi Technique
dc.subjectDecision Support Systems, Clinical
dc.subjectAdult
dc.subjectMiddle Aged
dc.subjectFemale
dc.subjectMale
dc.subjectInterviews as Topic
dc.subjectYoung Adult
dc.subjectSurveys and Questionnaires
dc.titleIdentifying barriers to implementing a cardiovascular computerised decision support system (CDSS): a Delphi survey.
dc.typeJournal article
pubs.publication-statusPublished

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