Kilsdonk E, Peute L W P, Knijnenburg S L, Jaspers M W M
Department of Medical Informatics, Academic Medical Center - University of Amsterdam, The Netherlands.
Stud Health Technol Inform. 2011;169:150-4.
Clinical Decision Support Systems (CDSS) have been shown to improve clinical performance and patient outcomes, but the failure rate of such systems is still over 50 percent. To contribute to a wider understanding of issues surrounding CDDS acceptance, we performed a systematic review of studies that evaluated CDSS implementations in clinical care to determine the factors that are associated with acceptance of CDSS by physicians. The factors that were found were categorized according to the HOT-fit framework. The mapping of factors concerning CDSS acceptance on the HOT-fit framework revealed gaps in each domain of the framework and showed that research has mainly focused on human and technology factors and a lack of research on organizational factors. A potential area of research could thus be studying the organizational factors that may influence CDSS acceptance.
临床决策支持系统（CDSS）已被证明可改善临床绩效和患者预后，但此类系统的失败率仍超过50%。为了促进对围绕CDDS接受度问题的更广泛理解，我们对评估CDSS在临床护理中实施情况的研究进行了系统综述，以确定与医生接受CDSS相关的因素。所发现的因素根据HOT-fit框架进行了分类。将与CDSS接受度相关的因素映射到HOT-fit框架上，揭示了该框架各领域存在的差距，并表明研究主要集中在人与技术因素上，而对组织因素的研究不足。因此，一个潜在的研究领域可能是研究可能影响CDSS接受度的组织因素。
