Identifying barriers to implementing a cardiovascular computerised decision support system (CDSS): a Delphi survey
<strong>Purpose</strong> This paper reports an evaluation of stakeholders' perspectives and recommendations for the dissemination of a cardiovascular computerised decision support system (CDSS) program. <strong>Methods</strong> A literature review of dissemination models...
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doaj-953cc378f0fe4ee98de447c4f7b2f59c2020-11-25T00:59:47ZengBCS, The Chartered Institute for ITJournal of Innovation in Health Informatics2058-45552058-45632009-03-01171233310.14236/jhi.v17i1.711653Identifying barriers to implementing a cardiovascular computerised decision support system (CDSS): a Delphi surveyAnne WilsonMelissa Opolski<strong>Purpose</strong> This paper reports an evaluation of stakeholders' perspectives and recommendations for the dissemination of a cardiovascular computerised decision support system (CDSS) program. <strong>Methods</strong> 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. <strong>Results</strong> Financial incentive was the most highly rated disseminationmethod, 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. <strong>Conclusion</strong> 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.http://hijournal.bcs.org/index.php/jhi/article/view/711cardiovascularcomputerised decision makingdiffusion of innovation |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Anne Wilson Melissa Opolski |
spellingShingle |
Anne Wilson Melissa Opolski Identifying barriers to implementing a cardiovascular computerised decision support system (CDSS): a Delphi survey Journal of Innovation in Health Informatics cardiovascular computerised decision making diffusion of innovation |
author_facet |
Anne Wilson Melissa Opolski |
author_sort |
Anne Wilson |
title |
Identifying barriers to implementing a cardiovascular computerised decision support system (CDSS): a Delphi survey |
title_short |
Identifying barriers to implementing a cardiovascular computerised decision support system (CDSS): a Delphi survey |
title_full |
Identifying barriers to implementing a cardiovascular computerised decision support system (CDSS): a Delphi survey |
title_fullStr |
Identifying barriers to implementing a cardiovascular computerised decision support system (CDSS): a Delphi survey |
title_full_unstemmed |
Identifying barriers to implementing a cardiovascular computerised decision support system (CDSS): a Delphi survey |
title_sort |
identifying barriers to implementing a cardiovascular computerised decision support system (cdss): a delphi survey |
publisher |
BCS, The Chartered Institute for IT |
series |
Journal of Innovation in Health Informatics |
issn |
2058-4555 2058-4563 |
publishDate |
2009-03-01 |
description |
<strong>Purpose</strong> This paper reports an evaluation of stakeholders' perspectives and recommendations for the dissemination of a cardiovascular computerised decision support system (CDSS) program.
<strong>Methods</strong> 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.
<strong>Results</strong> Financial incentive was the most highly rated disseminationmethod, 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.
<strong>Conclusion</strong> 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. |
topic |
cardiovascular computerised decision making diffusion of innovation |
url |
http://hijournal.bcs.org/index.php/jhi/article/view/711 |
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