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Published VersionCC BY-NC-ND V4.0, Open Access
Journal article
Implementing patient decision aids into general practice clinical decision support systems: Feasibility study in cardiovascular disease prevention
PEC Innovation, Vol.2, pp.1-10
2023
Abstract
Objective:
Patient decision aids (DA) facilitate shared decision making, but implementation remains a challenge. This study tested the feasibility of integrating a cardiovascular disease (CVD) prevention DA into general practice software.
Methods:
We developed a desktop computer application (app) to auto-populate a CVD prevention DA from general practice medical records. 4 practices received monthly practice reports from July-Nov 2021, and 2 practices use the app with limited engagement. CVD risk assessment data and app use were monitored.
Results:
The proportion of eligible patients with complete CVD risk assessment data ranged from 59 to 94%. Monthly app use ranged from 0 to 285 sessions by 13 individual practice staff including GPs and nurses, with staff using the app an average of 67 sessions during the study period. High users in the 5-month study period continued to use the app for 10 months. Low use was attributed to reduced staff capacity during COVID-19 and technical issues.
Conclusion:
High users sustained interest in the app, but additional strategies are required for low users. The study will inform implementation plans for new guidelines.
Innovation:
This study showed it is feasible to integrate patient decision aids with Australian general practice software, despite the challenges of COVID-19 at the time of the study.
Details
- Title
- Implementing patient decision aids into general practice clinical decision support systems: Feasibility study in cardiovascular disease prevention
- Authors
- Samuel Cornell (Author) - The University of SydneyJenny Doust (Author) - The University of QueenslandMark Morgan (Author) - Bond UniversityKim Greaves (Author) - University of the Sunshine Coast, Queensland, Faculty of Science, Health, Education and EngineeringAnna L. Hawkes (Author) - The University of QueenslandCarl de Wet (Author) - Gold Coast HealthDenise O'Connor (Author) - Monash UniversityCarissa Bonner (Corresponding Author) - The University of Sydney
- Publication details
- PEC Innovation, Vol.2, pp.1-10
- Publisher
- Elsevier BV
- Date published
- 2023
- DOI
- 10.1016/j.pecinn.2023.100140
- ISSN
- 2772-6282
- Copyright note
- © 2023 Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
- Organisation Unit
- Faculty of Science, Health, Education and Engineering
- Language
- English
- Record Identifier
- 99716194202621
- Output Type
- Journal article
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