Chan A S, Shankar R D, Coleman R W, Matins S B, Hoffman B B, Goldstein M K
VA Palo Alto Health Care System, Palo Alto, CA, USA.
AMIA Annu Symp Proc. 2005;2005:915.
Studies of barriers to guideline adherence have generally surveyed clinicians temporally remote from the clinical scenario in which recommendations were delivered, potentially adversely biasing clinician observations. The user interface of ATHENA DSS, a guideline-based decision support system for hypertension, includes a point-of-care feedback window that accepts clinician-user comments during the display of recommendations. Analysis of this feedback has revealed a number of intriguing patient, provider, and technical barriers to adherence collected during real-time system use.
对指南依从性障碍的研究通常是在距离推荐意见发布的临床场景时间较远时对临床医生进行调查的，这可能会对临床医生的观察结果产生不利偏差。ATHENA DSS是一种基于指南的高血压决策支持系统，其用户界面包括一个即时护理反馈窗口，在显示推荐意见时接受临床医生用户的评论。对这些反馈的分析揭示了在实时系统使用过程中收集到的一些关于患者、提供者和技术方面的有趣的依从性障碍。
