BMC Med Inform Decis Mak - How information systems should support the information needs of general dentists in clinical settings: suggestions from a qualitative study.

Tópicos

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Resumo

CKGROUND: A major challenge in designing useful clinical information systems in dentistry is to incorporate clinical evidence based on dentists' information needs and then integrate the system seamlessly into the complex clinical workflow. However, little is known about the actual information needs of dentists during treatment sessions. The purpose of this study is to identify general dentists' information needs and the information sources they use to meet those needs in clinical settings so as to inform the design of dental information systems.METHODS: A semi-structured interview was conducted with a convenience sample of 18 general dentists in the Pittsburgh area during clinical hours. One hundred and five patient cases were reported by these dentists. Interview transcripts were coded and analyzed using thematic analysis with a constant comparative method to identify categories and themes regarding information needs and information source use patterns.RESULTS: Two top-level categories of information needs were identified: foreground and background information needs. To meet these needs, dentists used four types of information sources: clinical information/tasks, administrative tasks, patient education and professional development. Major themes of dentists' unmet information needs include: (1) timely access to information on various subjects; (2) better visual representations of dental problems; (3) access to patient-specific evidence-based information; and (4) accurate, complete and consistent documentation of patient records. Resource use patterns include: (1) dentists' information needs matched information source use; (2) little use of electronic sources took place during treatment; (3) source use depended on the nature and complexity of the dental problems; and (4) dentists routinely practiced cross-referencing to verify patient information.CONCLUSIONS: Dentists have various information needs at the point of care. Among them, the needs for better visual representation and patient-specific evidence-based information are mostly unmet. While patient records and support staff remain the most used information sources, electronic sources other than electronic dental records (EDR) are rarely utilized during patient visits. For future development of dental information or clinical decision-support systems, developers should consider integrating high-quality, up-to-date clinical evidence into comprehensive and easily accessible EDRs as well as supporting dentists' resource use patterns as identified in the study.

Resumo Limpo

ckground major challeng design use clinic inform system dentistri incorpor clinic evid base dentist inform need integr system seamless complex clinic workflow howev littl known actual inform need dentist treatment session purpos studi identifi general dentist inform need inform sourc use meet need clinic set inform design dental inform systemsmethod semistructur interview conduct conveni sampl general dentist pittsburgh area clinic hour one hundr five patient case report dentist interview transcript code analyz use themat analysi constant compar method identifi categori theme regard inform need inform sourc use patternsresult two toplevel categori inform need identifi foreground background inform need meet need dentist use four type inform sourc clinic informationtask administr task patient educ profession develop major theme dentist unmet inform need includ time access inform various subject better visual represent dental problem access patientspecif evidencebas inform accur complet consist document patient record resourc use pattern includ dentist inform need match inform sourc use littl use electron sourc took place treatment sourc use depend natur complex dental problem dentist routin practic crossreferenc verifi patient informationconclus dentist various inform need point care among need better visual represent patientspecif evidencebas inform most unmet patient record support staff remain use inform sourc electron sourc electron dental record edr rare util patient visit futur develop dental inform clinic decisionsupport system develop consid integr highqual uptod clinic evid comprehens easili access edr well support dentist resourc use pattern identifi studi

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