ArticleBMJ health & care informatics2019
Availability and usage of clinical decision support systems (CDSSs) in office-based primary care settings in the USA.
Article in BMJ health & care informatics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- A Systematic Review of Factors Affecting Utilization of Decision Support Systems: The Interplay Between Technology, Users, and the Healthcare Environment.Health science reports · 2026Review
- How Implementation Context Shapes Clinician Acceptance and Engagement with Guideline-Based Clinical Decision Support Systems in Primary Care: A Qualitative Study.Journal of healthcare leadership · 2026Article
- Vaccination Schedules Recommended by the Centers for Disease Control and Prevention: From Human-Readable to Machine-Processable.Vaccines · 2025Article
- Reusable Generic Clinical Decision Support System Module for Immunization Recommendations in Resource-Constraint Settings.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2025Article
- Keyphrase Identification Using Minimal Labeled Data with Hierarchical Contexts and Transfer Learning.medRxiv : the preprint server for health sciences · 2024Article
- Active Learning Pipeline to Identify Candidate Terms for a CDSS Ontology.Studies in health technology and informatics · 2024Article
- Artificial-Intelligence-Based Clinical Decision Support Systems in Primary Care: A Scoping Review of Current Clinical Implementations.European journal of investigation in health, psychology and education · 2024Article
- Literature Analysis on Ontologies Applied in Clinical Decision Support Systems.Studies in health technology and informatics · 2024Article
- The unmet needs of adopting clinical decision support system among physicians in Palestinian hospitals.PloS one · 2024Article
- Data integration between clinical research and patient care: A framework for context-depending data sharing and in silico predictions.PLOS digital health · 2023Article
- A Visual Analytic Tool (VIADS) to Assist the Hypothesis Generation Process in Clinical Research: Mixed Methods Usability Study.JMIR human factors · 2023Article
- Computerization of the Work of General Practitioners: Mixed Methods Survey of Final-Year Medical Students in Ireland.JMIR medical education · 2023Article
- To find fault is easy, to find no-fault is fair.Future healthcare journal · 2023Article
- Ontologies Applied in Clinical Decision Support System Rules: Systematic Review.JMIR medical informatics · 2023Review
- Barriers and enablers to implementing and using clinical decision support systems for chronic diseases: a qualitative systematic review and meta-aggregation.Implementation science communications · 2022Review
- Coordinated use of Health Level 7 standards to support clinical decision support: Case study with shared decision making and drug-drug interactions.International journal of medical informatics · 2022Article
- Clinical Decision Support Systems for Diagnosis in Primary Care: A Scoping Review.International journal of environmental research and public health · 2021Article
- A Systematic Review of Artificial Intelligence-Based Clinical Decision Support Systems in Prostate Cancer Management.Healthcare technology lettersReview
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA clinical decision support system (CDSS) covers a broad spectrum of applications, for example, screening reminders, can reduce malpractice, improve preventive services and enable better management of chronic conditions. CDSSs have traditionally been used successfully in large hospitals. The availability (ie, whether the function is provided by the software) and usage (ie, actual use) of a CDSS in office-based primary care settings, however, are less well studied.
objectiveTo establish a benchmark of CDSS availability and usage in office-based primary care settings, particularly given the large volume of visits in such settings.
methodsWe used the 2015 Centers for Disease Control and Prevention's National Ambulatory Medical Care Survey to conduct secondary data analysis. We selected preventive services reminders and drug interaction alerts, along with several other variables as examples of a CDSS.
resultsCDSS usage rates ranged from 68.5% to 100% among solo or non-solo primary care practices owned by physicians or physician groups that have electronic medical records (EMRs)/electronic health records (EHRs) and 44.7% to 96.1%, regardless of EMR/EHR status. According to proportion tests, solo practices had significantly lower CDSS usage and availability rates on several measures if the practice is entirely EMR/EHR based and significantly lower (16.3%-28.9%) CDSS usage rates than did non-solo practices
conclusionIn the USA, a CDSS, especially under the categories of basic preventive reminders and drug interaction alerts, is used routinely between 68% and 100% in primary care if a practice is entirely EMR/EHR based. More work is needed, however, to determine the reasons for large usage gaps between solo and non-solo practices and to reduce such gaps.
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