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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Main Authors: Anne Wilson, Melissa Opolski
Format: Article
Language:English
Published: BCS, The Chartered Institute for IT 2009-03-01
Series:Journal of Innovation in Health Informatics
Subjects:
Online Access:http://hijournal.bcs.org/index.php/jhi/article/view/711
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spelling 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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