Are clinicians' information needs and decision support affected by different models of care? experimental study

Vitali Sintchenko*, Tim Usherwood, Enrico Coiera

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingConference proceeding contribution

5 Citations (Scopus)

Abstract

This study explores task- and healthcare model-specific differences in clinicians' information needs which can affect the uptake of decision support. Results of a web experiment involving 104 general practitioners are presented. Respondents indicated that guidelines were the most important source of information with almost equal weighting for acute, chronic and preventive care. A patient's quality of life was identified as the most important determinant of decision-making in all three models of care. Risk assessment tools and information about outcomes were more valuable (P<0.05) for chronic and preventive care than for acute cases. The participants accessed electronic risk assessment tools in 54%, 45% and 81% of acute, chronic and preventive care scenarios, respectively. Participants estimated that the electronic decision support would have a significantly higher impact in preventive care than in chronic or acute care settings (P=0.01). The differences in the information needs of clinicians related to different care models have to be considered in the design of clinical decision support systems. Systems that target preventive model decisions may have higher adoption and impact.

Original languageEnglish
Title of host publicationMEDINFO 2007 - Proceedings of the 12th World Congress on Health (Medical) Informatics: Building Sustainable Health Systems
EditorsKlaus A Kuhn, James R. Warren, Tze-Yun Leong
Place of PublicationAmsterdam; Oxford
PublisherIOS Press
Pages895-899
Number of pages5
Volume129
ISBN (Print)9781586037741
Publication statusPublished - 2007
Externally publishedYes
Event12th World Congress on Medical Informatics, MEDINFO 2007 - Brisbane, QLD, Australia
Duration: 20 Aug 200724 Aug 2007

Publication series

NameStudies in health technology and informatics
PublisherIOS Press
Volume129
ISSN (Print)0926-9630

Other

Other12th World Congress on Medical Informatics, MEDINFO 2007
CountryAustralia
CityBrisbane, QLD
Period20/08/0724/08/07

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  • Cite this

    Sintchenko, V., Usherwood, T., & Coiera, E. (2007). Are clinicians' information needs and decision support affected by different models of care? experimental study. In K. A. Kuhn, J. R. Warren, & T-Y. Leong (Eds.), MEDINFO 2007 - Proceedings of the 12th World Congress on Health (Medical) Informatics: Building Sustainable Health Systems (Vol. 129, pp. 895-899). (Studies in health technology and informatics; Vol. 129). Amsterdam; Oxford: IOS Press.