医生需要哪些临床规则的决策支持，为什么？对荷兰全科医生的调查。
For which clinical rules do doctors want decision support, and why? A survey of Dutch general practitioners.
机构信息
Amsterdam Public Health Research Institute, The Netherlands.
Amsterdam Public Health Research Institute, The Netherlands; Mashhad University of Medical Sciences, The Islamic Republic of Iran.
出版信息
Health Informatics J. 2019 Sep;25(3):1076-1090. doi: 10.1177/1460458217740407. Epub 2017 Nov 17.
Despite the promise of decision support for improving care, alerts are often overridden or ignored. We evaluated Dutch general practitioners' intention to accept decision support in a proposed implementation based on clinical rules regarding care for elderly patients, and their reasons for wanting or not wanting support. We developed a survey based on literature and structured interviews and distributed it to all doctors who would receive support in the proposed implementation (n = 43), of which 65 percent responded. The survey consisted of six questions for each of 20 clinical rules. Despite concerns about interruption, doctors tended to choose more interruptive forms of support. Doctors wanted support when they felt the rule represented minimal care, perceived a need to improve care, and felt responsible for the action and that they might forget to perform the action; doctors declined support due to feeling that it was unnecessary and due to concerns about interruption.
尽管决策支持有望改善护理，但警报经常被忽略或忽视。我们评估了荷兰全科医生在基于临床规则的老年患者护理的拟议实施中接受决策支持的意愿，以及他们希望或不希望支持的原因。我们根据文献和结构访谈开发了一项调查，并将其分发给将在拟议实施中获得支持的所有医生（n=43），其中 65%的人做出了回应。调查由六个问题组成，每个问题对应 20 个临床规则。尽管对中断存在担忧，但医生往往更倾向于选择更具干扰性的支持形式。当医生认为规则代表最低限度的护理时，他们希望获得支持，当他们认为有必要改善护理时，当他们感到有责任采取行动并可能忘记执行该行动时，他们希望获得支持；医生拒绝支持是因为他们觉得没有必要，以及担心中断。
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