Evidence map›Paper›PMID 29148311›Full record

ArticleHealth informatics journal2019

For which clinical rules do doctors want decision support, and why? A survey of Dutch general practitioners.

Stephanie Medlock, Saeid Eslami, Marjan Askari, Derk L Arts, Esther M van de Glind, Henk J Brouwer, Henk C van Weert, Sophia E de Rooij, Ameen Abu-Hanna

Abstract read
In one paragraph

Article in Health informatics journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Stephanie MedlockAmsterdam Public Health Research Institute, The Netherlands.
Saeid EslamiAmsterdam Public Health Research Institute, The Netherlands; Mashhad University of Medical Sciences, The Islamic Republic of Iran.
Marjan AskariAmsterdam Public Health Research Institute, The Netherlands; Universiteit Utrecht, The Netherlands.
Derk L ArtsAmsterdam Public Health Research Institute, The Netherlands; University of Amsterdam, The Netherlands.
Esther M van de GlindAmsterdam Public Health Research Institute, The Netherlands.
Henk J Brouwer
Henk C van WeertUniversity of Amsterdam, The Netherlands.
Sophia E de RooijUniversity of Amsterdam, The Netherlands; University of Groningen, The Netherlands.
Ameen Abu-HannaAmsterdam Public Health Research Institute, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the promise of decision support for improving care, alerts are often overridden or ignored. We evaluated Dutch general practitioners' intention to accept decision support in a proposed implementation based on clinical rules regarding care for elderly patients, and their reasons for wanting or not wanting support. We developed a survey based on literature and structured interviews and distributed it to all doctors who would receive support in the proposed implementation (n = 43), of which 65 percent responded. The survey consisted of six questions for each of 20 clinical rules. Despite concerns about interruption, doctors tended to choose more interruptive forms of support. Doctors wanted support when they felt the rule represented minimal care, perceived a need to improve care, and felt responsible for the action and that they might forget to perform the action; doctors declined support due to feeling that it was unnecessary and due to concerns about interruption.

Indexed as

Decision Support TechniquesHelp-Seeking BehaviorChi-Square DistributionGeneral PractitionersHumansInterviews as TopicLogistic ModelsNetherlandsStatistics, NonparametricSurveys and Questionnairesclinicaldecision support systemsgeneral practitionersmedication alert systemssurveys

Identifiers

PMID29148311
PMCPMC6769284

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.