J Med Syst - Evaluating acceptance and user experience of a guideline-based clinical decision support system execution platform.

Tópicos

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Resumo

This study aims to determine what the initial disposition of physicians towards the use of Clinical Decision Support Systems (CDSS) based on Computerised Clinical Guidelines and Protocols (CCGP) is; and whether their prolonged utilisation has a positive effect on their intention to adopt them in the future. For a period of 3 months, 8 volunteer paediatricians monitored each up to 10 asthmatic patients using two CCGPs deployed in the-GuidesMed CDSS. A Technology Acceptance Model (TAM) questionnaire was supplied to them before and after using the system. Results from both questionnaires are analysed searching for significant improvements in opinion between them. An additional survey was performed to analyse the usability of the system. It was found that initial disposition of physicians towards e-GuidesMed is good. Improvement between the pre and post iterations of the TAM questionnaire has been found to be statistically significant. Nonetheless, slightly lower values in the Compatibility and Habit variables show that participants perceive possible difficulties to integrate e-GuidesMed into their daily routine. The variable Facilitators shows the highest correlation with the Intention to Use. Usability of the system has also been rated very high and, in this regard, no fundamental flaw has been detected. Initial views towards e-GuidesMed are positive, and become reinforced after continued utilisation of the system. In order to achieve an effective implementation, it becomes essential to facilitate conditions to integrate the system into the physician's daily routine.

Resumo Limpo

studi aim determin initi disposit physician toward use clinic decis support system cdss base computeris clinic guidelin protocol ccgp whether prolong utilis posit effect intent adopt futur period month volunt paediatrician monitor asthmat patient use two ccgps deploy theguidesm cdss technolog accept model tam questionnair suppli use system result questionnair analys search signific improv opinion addit survey perform analys usabl system found initi disposit physician toward eguidesm good improv pre post iter tam questionnair found statist signific nonetheless slight lower valu compat habit variabl show particip perceiv possibl difficulti integr eguidesm daili routin variabl facilit show highest correl intent use usabl system also rate high regard fundament flaw detect initi view toward eguidesm posit becom reinforc continu utilis system order achiev effect implement becom essenti facilit condit integr system physician daili routin

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