ArticleJournal of the American Medical Informatics Association : JAMIA2022
Challenges and opportunities for advancing patient-centered clinical decision support: findings from a horizon scan.
Article in Journal of the American Medical Informatics Association : JAMIA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Real-World Performance Measurement of Patient-Centered Clinical Decision Support Tools: Qualitative Study.JMIR formative research · 2026Pooled it
- Patient- and Caregiver-Informed Considerations for the Design and Implementation of Generative AI-Supported Patient-Centered Clinical Decision Support: Qualitative Study.Journal of medical Internet research · 2026Article
- Integrating Generative AI Into Patient-Centered Clinical Decision Support: Viewpoint on Research and Practice Considerations.Journal of medical Internet research · 2026Article
- From Pilot to Practice: A Sociotechnical Perspective for Sustainable Adoption of Patient Engagement Technologies.Applied clinical informatics · 2026Article
- Language concordance in the digital collection of patient-reported outcome measures.JAMIA open · 2026Article
- Development of a paediatric asthma shared decision-making tool: intervention design and evaluation.BMC medical informatics and decision making · 2025Article
- Evaluating clinicians' attitudes toward a web-based tool to support culturally and medically tailored nutrition services at the point of care.JAMIA open · 2025Article
- New Performance Measurement Framework for Realizing Patient-Centered Clinical Decision Support: Qualitative Development Study.Journal of medical Internet research · 2025Article
- Engaging Stakeholders Using the Competency Matrix Model: A Framework for Current and Future Health Informaticists.Applied clinical informatics · 2025Article
- In Silico Evaluation of Algorithm-Based Clinical Decision Support Systems: Protocol for a Scoping Review.JMIR research protocols · 2025Article
- An Interoperable Machine Learning Pipeline for Pediatric Obesity Risk Estimation.Proceedings of machine learning research · 2024Article
- Review
- Exploring home healthcare clinicians' needs for using clinical decision support systems for early risk warning.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Article
- Factors Guiding Clinical Decision-Making in Genitourinary Oncology.Cancer medicine · 2024Review
- Patient-centered clinical decision support challenges and opportunities identified from workflow execution models.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Workflow analysis of breast cancer treatment decision-making: challenges and opportunities for informatics to support patient-centered cancer care.JAMIA open · 2024Article
- Enhancing Large Language Models for Clinical Decision Support by Incorporating Clinical Practice Guidelines.Proceedings. IEEE International Conference on Healthcare Informatics · 2024Article
- Clinical Decision Support System for Guidelines-Based Treatment of Gonococcal Infections, Screening for HIV, and Prescription of Pre-Exposure Prophylaxis: Design and Implementation Study.JMIR formative research · 2024Article
- Article
Corrections and comments
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Authors and funding
12 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveWe conducted a horizon scan to (1) identify challenges in patient-centered clinical decision support (PC CDS) and (2) identify future directions for PC CDS. MATERIALS AND
methodsWe engaged a technical expert panel, conducted a scoping literature review, and interviewed key informants. We qualitatively analyzed literature and interview transcripts, mapping findings to the 4 phases for translating evidence into PC CDS interventions (Prioritizing, Authoring, Implementing, and Measuring) and to external factors.
resultsWe identified 12 challenges for PC CDS development. Lack of patient input was identified as a critical challenge. The key informants noted that patient input is critical to prioritizing topics for PC CDS and to ensuring that CDS aligns with patients' routine behaviors. Lack of patient-centered terminology standards was viewed as a challenge in authoring PC CDS. We found a dearth of CDS studies that measured clinical outcomes, creating significant gaps in our understanding of PC CDS' impact. Across all phases of CDS development, there is a lack of patient and provider trust and limited attention to patients' and providers' concerns. DISCUSSION: These challenges suggest opportunities for advancing PC CDS. There are opportunities to develop industry-wide practices and standards to increase transparency, standardize terminologies, and incorporate patient input. There is also opportunity to engage patients throughout the PC CDS research process to ensure that outcome measures are relevant to their needs.
conclusionAddressing these challenges and embracing these opportunities will help realize the promise of PC CDS-placing patients at the center of the healthcare system.
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What OpenQuestion holds
Registered trials
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.