BMC Med Inform Decis Mak - Arriba-lib: evaluation of an electronic library of decision aids in primary care physicians.

Tópicos

{ decis(3086) make(1611) patient(1517) }
{ patient(1821) servic(1111) care(1106) }
{ record(1888) medic(1808) patient(1693) }
{ ehr(2073) health(1662) electron(1139) }
{ use(2086) technolog(871) perceiv(783) }
{ treatment(1704) effect(941) patient(846) }
{ design(1359) user(1324) use(1319) }
{ howev(809) still(633) remain(590) }
{ risk(3053) factor(974) diseas(938) }
{ state(1844) use(1261) util(961) }
{ research(1085) discuss(1038) issu(1018) }
{ blood(1257) pressur(1144) flow(957) }
{ sampl(1606) size(1419) use(1276) }
{ take(945) account(800) differ(722) }
{ extract(1171) text(1153) clinic(932) }
{ care(1570) inform(1187) nurs(1089) }
{ research(1218) medic(880) student(794) }
{ first(2504) two(1366) second(1323) }
{ activ(1138) subject(705) human(624) }
{ health(1844) social(1437) communiti(874) }
{ result(1111) use(1088) new(759) }
{ model(3404) distribut(989) bayesian(671) }
{ imag(1057) registr(996) error(939) }
{ problem(2511) optim(1539) algorithm(950) }
{ data(1714) softwar(1251) tool(1186) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ patient(2837) hospit(1953) medic(668) }
{ time(1939) patient(1703) rate(768) }
{ analysi(2126) use(1163) compon(1037) }
{ structur(1116) can(940) graph(676) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ drug(1928) target(777) effect(648) }
{ process(1125) use(805) approach(778) }
{ method(2212) result(1239) propos(1039) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ inform(2794) health(2639) internet(1427) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ framework(1458) process(801) describ(734) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ method(1557) propos(1049) approach(1037) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ perform(999) metric(946) measur(919) }
{ system(1050) medic(1026) inform(1018) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ spatial(1525) area(1432) region(1030) }
{ health(3367) inform(1360) care(1135) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ intervent(3218) particip(2042) group(1664) }
{ can(981) present(881) function(850) }
{ high(1669) rate(1365) level(1280) }
{ use(1733) differ(960) four(931) }
{ implement(1333) system(1263) develop(1122) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

CKGROUND: The successful implementation of decision aids in clinical practice initially depends on how clinicians perceive them. Relatively little is known about the acceptance of decision aids by physicians and factors influencing the implementation of decision aids from their point of view. Our electronic library of decision aids (arriba-lib) is to be used within the encounter and has a modular structure containing evidence-based decision aids for the following topics: cardiovascular prevention, atrial fibrillation, coronary heart disease, oral antidiabetics, conventional and intensified insulin therapy, and unipolar depression. The aim of our study was to evaluate the acceptance of arriba-lib in primary care physicians.METHODS: We conducted an evaluation study in which 29 primary care physicians included 192 patients. The physician questionnaire contained information on which module was used, how extensive steps of the shared decision making process were discussed, who made the decision, and a subjective appraisal of consultation length. We used generalised estimation equations to measure associations within patient variables and traditional crosstab analyses.RESULTS: Only a minority of consultations (8.9%) was considered to be unacceptably extended. In 90.6% of consultations, physicians said that a decision could be made. A shared decision was perceived by physicians in 57.1% of consultations. Physicians said that a decision was more likely to be made when therapeutic options were discussed "detailed". Prior experience with decision aids was not a critical variable for implementation within our sample of primary care physicians.CONCLUSIONS: Our study showed that it might be feasible to apply our electronic library of decision aids (arriba-lib) in the primary care context. Evidence-based decision aids offer support for physicians in the management of medical information. Future studies should monitor the long-term adoption of arriba-lib in primary care physicians.

Resumo Limpo

ckground success implement decis aid clinic practic initi depend clinician perceiv relat littl known accept decis aid physician factor influenc implement decis aid point view electron librari decis aid arribalib use within encount modular structur contain evidencebas decis aid follow topic cardiovascular prevent atrial fibril coronari heart diseas oral antidiabet convent intensifi insulin therapi unipolar depress aim studi evalu accept arribalib primari care physiciansmethod conduct evalu studi primari care physician includ patient physician questionnair contain inform modul use extens step share decis make process discuss made decis subject apprais consult length use generalis estim equat measur associ within patient variabl tradit crosstab analysesresult minor consult consid unaccept extend consult physician said decis made share decis perceiv physician consult physician said decis like made therapeut option discuss detail prior experi decis aid critic variabl implement within sampl primari care physiciansconclus studi show might feasibl appli electron librari decis aid arribalib primari care context evidencebas decis aid offer support physician manag medic inform futur studi monitor longterm adopt arribalib primari care physician

Resumos Similares

Med Decis Making - Adherence and decision AIDS: a model and a narrative review. ( 0,802028947955754 )
BMC Med Inform Decis Mak - Assessing the information desire of patients with advanced cancer by providing information with a decision aid, which is evaluated in a randomized trial: a study protocol. ( 0,788928075592401 )
BMC Med Inform Decis Mak - Development of a decision aid to inform patients' and families' renal replacement therapy selection decisions. ( 0,763803363618931 )
BMC Med Inform Decis Mak - Risk assessment and decision making about in-labour transfer from rural maternity care: a social judgment and signal detection analysis. ( 0,756950465844612 )
Med Decis Making - What is known about parents' treatment decisions? A narrative review of pediatric decision making. ( 0,748151184457523 )
BMC Med Inform Decis Mak - Barriers and facilitators to implementing Decision Boxes in primary healthcare teams to facilitate shared decisionmaking: a study protocol. ( 0,741567473047606 )
Med Decis Making - All stories are not alike: a purpose-, content-, and valence-based taxonomy of patient narratives in decision aids. ( 0,731135574739827 )
BMC Med Inform Decis Mak - The design of a low literacy decision aid about rheumatoid arthritis medications developed in three languages for use during the clinical encounter. ( 0,724912248984698 )
AMIA Annu Symp Proc - An information-centric framework for designing patient-centered medical decision aids and risk communication. ( 0,724772498469684 )
BMC Med Inform Decis Mak - Visual AIDS for multimodal treatment options to support decision making of patients with colorectal cancer. ( 0,723098148010102 )
Med Decis Making - An emerging field of research: challenges in pediatric decision making. ( 0,722001264709919 )
Healthc (Amst) - Incentivizing shared decision making in the USA--where are we now? ( 0,721937534635139 )
Med Decis Making - The impact of a novel computer-based decision aid on shared decision making for colorectal cancer screening: a randomized trial. ( 0,715810444121254 )
BMC Med Inform Decis Mak - Genders of patients and clinicians and their effect on shared decision making: a participant-level meta-analysis. ( 0,713778732316362 )
Med Decis Making - Perceptions of shared decision making and decision aids among rural primary care clinicians. ( 0,706208269703318 )
Med Decis Making - Contributions of Second Opinions, Outcome Forecasts, and Testimonials to Patient Decisions about Knee Replacement Surgery. ( 0,700291588603877 )
AMIA Annu Symp Proc - Revisiting the EBM decision model to formalize non-compliance with computerized CPGs: results in the management of breast cancer with OncoDoc2. ( 0,694961466377531 )
Telemed J E Health - Teledermatology via a social networking web site: a pilot study between a general hospital and a rural clinic. ( 0,694814438558951 )
BMC Med Inform Decis Mak - Development of a tool to improve the quality of decision making in atrial fibrillation. ( 0,694468369431819 )
J Med Syst - Development of a decision support engine to assist patients with hospital selection. ( 0,693836638622863 )
BMC Med Inform Decis Mak - Launching a virtual decision lab: development and field-testing of a web-based patient decision support research platform. ( 0,69234715438535 )
Med Decis Making - A model to support shared decision making in electronic health records systems. ( 0,687775339558615 )
Med Decis Making - Content coding for contextualization of care: evaluating physician performance at patient-centered decision making. ( 0,687440913545752 )
BMC Med Inform Decis Mak - Developing and user-testing Decision boxes to facilitate shared decision making in primary care--a study protocol. ( 0,68642090886142 )
BMC Med Inform Decis Mak - Basing information on comprehensive, critically appraised, and up-to-date syntheses of the scientific evidence: a quality dimension of the International Patient Decision Aid Standards. ( 0,684041561329825 )
J Telemed Telecare - Trial of telemedicine for patients on home ventilator support: feasibility, confidence in clinical management and use in medical decision-making. ( 0,681631003991873 )
Med Decis Making - When decisions should be shared: a study of social norms in medical decision making using a factorial survey approach. ( 0,681094294175659 )
Perspect Health Inf Manag - A patient survey assessing the awareness and acceptability of the emergency care summary and its consent model in Scotland. ( 0,680672278917284 )
Med Decis Making - Investing in deliberation: a definition and classification of decision support interventions for people facing difficult health decisions. ( 0,679507740375906 )
Med Decis Making - Are medical outcomes fungible? A survey of voters, medical administrators, and physicians. ( 0,67897931050218 )
Med Decis Making - Preferences and perceived involvement in treatment decision making among Chinese patients with chronic hepatitis. ( 0,676056676486856 )
BMC Med Inform Decis Mak - Diagnosis and management of people with venous thromboembolism and advanced cancer: how do doctors decide? A qualitative study. ( 0,675546251362229 )
BMC Med Inform Decis Mak - Development and initial evaluation of a treatment decision dashboard. ( 0,670513676321087 )
Med Decis Making - Breast cancer patients' treatment expectations after exposure to the decision aid program adjuvant online: the influence of numeracy. ( 0,66948658903721 )
Med Decis Making - The DECISIONS study: a nationwide survey of United States adults regarding 9 common medical decisions. ( 0,669179538490866 )
BMC Med Inform Decis Mak - Development and pilot testing of an online case-based approach to shared decision making skills training for clinicians. ( 0,665166079445189 )
Med Decis Making - Decision coaching to prepare patients for making health decisions: a systematic review of decision coaching in trials of patient decision AIDS. ( 0,664442475728914 )
AMIA Annu Symp Proc - Supporting shared decision making within the MobiGuide project. ( 0,664211164155072 )
BMC Med Inform Decis Mak - The influence of medical testing on patients' health: an overview from the gynecologists' perspective. ( 0,649901795817352 )
Med Decis Making - Framing Options as Choice or Opportunity: Does the Frame Influence Decisions? ( 0,648998881435167 )
BMC Med Inform Decis Mak - Development and pilot testing of a decision aid for drivers with dementia. ( 0,646457977789032 )
Med Decis Making - Decision-making Processes among Prostate Cancer Survivors with Rising PSA Levels: Results from a Qualitative Analysis. ( 0,645999738843081 )
J. Med. Internet Res. - A web-based tool to support shared decision making for people with a psychotic disorder: randomized controlled trial and process evaluation. ( 0,644601166418698 )
J Med Syst - The reliability of an epilepsy treatment clinical decision support system. ( 0,644378571685664 )
Med Decis Making - Providing Informal Care in Terminal Illness: An Analysis of Preferences for Support Using a Discrete Choice Experiment. ( 0,64348007378625 )
BMC Med Inform Decis Mak - Applying the theory of planned behaviour to multiple sclerosis patients' decisions on disease modifying therapy--questionnaire concept and validation. ( 0,641443797873394 )
BMC Med Inform Decis Mak - Congruence between patients' preferred and perceived participation in medical decision-making: a review of the literature. ( 0,640301077188368 )
Med Decis Making - Factors Associated with Informed Decisions and Participation in Bowel Cancer Screening among Adults with Lower Education and Literacy. ( 0,637833143652907 )
Artif Intell Med - From decision to shared-decision: Introducing patients' preferences into clinical decision analysis. ( 0,633133859583471 )
BMC Med Inform Decis Mak - Data mining of audiology patient records: factors influencing the choice of hearing aid type. ( 0,633072347432917 )
BMC Med Inform Decis Mak - Refining a brief decision aid in stable CAD: cognitive interviews. ( 0,632442036996252 )
BMC Med Inform Decis Mak - Clarifying values: an updated review. ( 0,630798711367972 )
J. Med. Internet Res. - Development and evaluation of the personal patient profile-prostate (P3P), a Web-based decision support system for men newly diagnosed with localized prostate cancer. ( 0,630489140502349 )
Comput Methods Programs Biomed - Implementation and evaluation of an Asbru-based decision support system for adjuvant treatment in breast cancer. ( 0,627546595540302 )
Telemed J E Health - Internet-based medical visit and diagnosis for common medical problems: experience of first user cohort. ( 0,626979361172334 )
J Med Syst - SAMS--a systems architecture for developing intelligent health information systems. ( 0,626523297875914 )
BMC Med Inform Decis Mak - Advancing clinical decision support using lessons from outside of healthcare: an interdisciplinary systematic review. ( 0,625711695814814 )
J Am Med Inform Assoc - Triaging patients at risk of influenza using a patient portal. ( 0,622884604247904 )
BMC Med Inform Decis Mak - Coaching and guidance with patient decision aids: A review of theoretical and empirical evidence. ( 0,622075033060705 )
Int J Med Inform - Model development for EHR interdisciplinary information exchange of ICU common goals. ( 0,621949373122341 )
Med Decis Making - Surrogate decision making: do we have to trade off accuracy and procedural satisfaction? ( 0,621583418412866 )
J Am Med Inform Assoc - Evaluation of computer-based medical histories taken by patients at home. ( 0,618006880314129 )
Med Decis Making - Cost-effectiveness on a local level: whether and when to adopt a new technology. ( 0,617989823469143 )
J. Med. Internet Res. - The effect of patient narratives on information search in a web-based breast cancer decision aid: an eye-tracking study. ( 0,617720313314063 )
Med Decis Making - What makes a tumor diagnosis a call to action? On the preference for action versus inaction. ( 0,616996098533905 )
BMC Med Inform Decis Mak - Disclosing conflicts of interest in patient decision aids. ( 0,615751394318649 )
J. Med. Internet Res. - Institutionalizing telemedicine applications: the challenge of legitimizing decision-making. ( 0,614459737393054 )
Med Decis Making - Determining the impact of informed choice: separating treatment effects from the effects of choice and selection in randomized trials. ( 0,610285815504773 )
Int J Med Inform - Pharmacist-conducted medication reconciliation at hospital admission using information technology in Taiwan. ( 0,609959025692894 )
BMC Med Inform Decis Mak - How do medical doctors use a web-based oncology protocol system? A comparison of Australian doctors at different levels of medical training using logfile analysis and an online survey. ( 0,607294337216566 )
Med Decis Making - Why do patients derogate physicians who use a computer-based diagnostic support system? ( 0,601996581720037 )
J Med Syst - Decision support systems and applications in ophthalmology: literature and commercial review focused on mobile apps. ( 0,600956504255307 )
J. Med. Internet Res. - Supporting informed decision making online in 20 minutes: an observational web-log study of a PSA test decision aid. ( 0,597947539510432 )
J Telemed Telecare - Impact of a kiosk educational module on HIV screening rates and patient knowledge. ( 0,597492024030579 )
Comput Methods Programs Biomed - AngioLab--a software tool for morphological analysis and endovascular treatment planning of intracranial aneurysms. ( 0,596010107634182 )
AMIA Annu Symp Proc - Patient clinical profiles associated with physician non-compliance despite the use of a guideline-based decision support system: a case study with OncoDoc2 using data mining techniques. ( 0,595056607363842 )
J Telemed Telecare - Improved access to mental health evaluation for patients with developmental disabilities using telepsychiatry. ( 0,592628658111548 )
J Am Med Inform Assoc - A clinical decision support needs assessment of community-based physicians. ( 0,592496281674749 )
BMC Med Inform Decis Mak - Does electronic clinical microbiology results reporting influence medical decision making: a pre- and post-interview study of medical specialists. ( 0,591068124371134 )
J Med Syst - Integration of an OWL-DL knowledge base with an EHR prototype and providing customized information. ( 0,590532072427904 )
Telemed J E Health - Impact of dysphagia severity on clinical decision making via telerehabilitation. ( 0,590233218306066 )
J Telemed Telecare - Approaches to economic evaluation in telemedicine. ( 0,589660850590846 )
Med Decis Making - An equity framework for health technology assessments. ( 0,589499550824379 )
J Med Syst - VIKOR method with enhanced accuracy for multiple criteria decision making in healthcare management. ( 0,588765907855021 )
Med Decis Making - Decision aid influences on factors associated with patient empowerment prior to cancer treatment decision making. ( 0,586733005084612 )
Artif Intell Med - A pilot study of distributed knowledge management and clinical decision support in the cloud. ( 0,586468978307591 )
Med Decis Making - Choice set size and decision making: the case of Medicare Part D prescription drug plans. ( 0,586272058901207 )
Int J Med Inform - Scale-up of networked HIV treatment in Nigeria: creation of an integrated electronic medical records system. ( 0,585730484189985 )
AMIA Annu Symp Proc - Social network analysis of physician interactions: the effect of institutional boundaries on breast cancer care. ( 0,583725284427744 )
Med Decis Making - Theoretical foundation of patient v. population preferences in calculating QALYs. ( 0,581133762757293 )
BMC Med Inform Decis Mak - Comparing virtual consults to traditional consults using an electronic health record: an observational case-control study. ( 0,580756499176635 )
J Am Med Inform Assoc - Workshop on using natural language processing applications for enhancing clinical decision making: an executive summary. ( 0,578902057093028 )
BMC Med Inform Decis Mak - A preliminary exploration of the feasibility of offering men information about potential prostate cancer treatment options before they know their biopsy results. ( 0,576136333539268 )
Comput Methods Programs Biomed - Model-based decision support in diabetes care. ( 0,574744596226966 )
Comput Methods Programs Biomed - S-PC: an e-treatment application for management of smoke-quitting patients. ( 0,572308973761947 )
J Biomed Inform - Opportunistic decision making and complexity in emergency care. ( 0,570804854410141 )
Perspect Health Inf Manag - Examination of office visit patient preferences for the after-visit summary (AVS). ( 0,570647377766748 )
J Am Med Inform Assoc - Imaging informatics for consumer health: towards a radiology patient portal. ( 0,570141583347001 )
Med Decis Making - The context of available options affects health care decisions: a generalization study. ( 0,570029050410443 )
Med Decis Making - The impact of explicit values clarification exercises in a patient decision aid emerges after the decision is actually made: evidence from a randomized controlled trial. ( 0,569340606941961 )