TY - JOUR
T1 - Evaluating the effectiveness of clinical decision support systems
T2 - The case of multimorbidity care
AU - Grace, Audrey
AU - Mahony, Carolanne
AU - O'Donoghue, John
AU - Heffernan, Tony
AU - Molony, David
AU - Carroll, Thomas
PY - 2013
Y1 - 2013
N2 - General Practitioners (GPs) and healthcare systems, worldwide, are overwhelmed by the growing number of patients with multimorbidity, particularly in light of the additional complexity and costs involved in treating these patients. While it has been proven that clinical decision support systems (CDSS) play a key role in supporting healthcare decisions, there is little research into their role in the case of multimorbidity. This study examines practice systems currently used in Ireland and evaluates their effectiveness in such circumstances. The findings uncover a number of deficiencies, including: (1) the lack of provision of integrated medical guidelines for multiple chronic diseases within the CDSS, (2) the inability to centralise the patient rather than the disease, (3) the difficulty in seamlessly integrating CDSS into the patient consultation, and (4) the lack of adequate training of GPs on how best to use CDSS in multimorbidity decision making. The study underlines the need for further research into CDSS and multimorbidity, and highlights some of the key issues that must be addressed in order to improve how CDSS support the care of multimorbid patients.
AB - General Practitioners (GPs) and healthcare systems, worldwide, are overwhelmed by the growing number of patients with multimorbidity, particularly in light of the additional complexity and costs involved in treating these patients. While it has been proven that clinical decision support systems (CDSS) play a key role in supporting healthcare decisions, there is little research into their role in the case of multimorbidity. This study examines practice systems currently used in Ireland and evaluates their effectiveness in such circumstances. The findings uncover a number of deficiencies, including: (1) the lack of provision of integrated medical guidelines for multiple chronic diseases within the CDSS, (2) the inability to centralise the patient rather than the disease, (3) the difficulty in seamlessly integrating CDSS into the patient consultation, and (4) the lack of adequate training of GPs on how best to use CDSS in multimorbidity decision making. The study underlines the need for further research into CDSS and multimorbidity, and highlights some of the key issues that must be addressed in order to improve how CDSS support the care of multimorbid patients.
KW - Chronic disease
KW - Clinical decision support systems
KW - Decision-making
KW - Information systems
KW - Multimorbidity
KW - Sensibility
UR - http://www.scopus.com/inward/record.url?scp=84890196686&partnerID=8YFLogxK
U2 - 10.1080/12460125.2013.780320
DO - 10.1080/12460125.2013.780320
M3 - Article
AN - SCOPUS:84890196686
SN - 1246-0125
VL - 22
SP - 97
EP - 108
JO - Journal of Decision Systems
JF - Journal of Decision Systems
IS - 2
ER -