Evidence map›Paper›PMID 42897641›Full record

ArticleBMC medical informatics and decision making2026

Measuring what matters- patient and clinician priorities for clinical decision support interactions: a modified Delphi study.

Rachel Kurtzman, Mustafa Ozkaynak, Frances Jimenez, Polina Kukhareva, Ruth Nwefo, Priyanka Desai, CDSiC Measurement and Outcomes Workgroup, Prashila Dullabh

Abstract read
In one paragraph

Article in BMC medical informatics and decision making, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Rachel KurtzmanNORC at the University of Chicago, Washington, DC, USA.
Mustafa OzkaynakUniversity of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Frances JimenezNORC at the University of Chicago, Washington, DC, USA.
Polina KukharevaUniversity of Utah School of Medicine, Salt Lake City, UT, USA.
Ruth NwefoNORC at the University of Chicago, Washington, DC, USA.
Priyanka DesaiNORC at the University of Chicago, Washington, DC, USA. desai-priyanka@norc.org.
CDSiC Measurement and Outcomes Workgroup
Prashila DullabhNORC at the University of Chicago, Washington, DC, USA.

Funding

AHRQ HHS 75Q80120D00018
6 · The paper itself

Abstract

backgroundPatient-centered clinical decision support (PC CDS) is a spectrum of digital tools intended to support patient and clinician decision making. Patient-clinician interaction is key to PC CDS, and patient-clinician interaction measurement areas assess how PC CDS impacts the care process and experiences a patient has accessing and receiving healthcare. Identifying measures that assess if and how PC CDS influences outcomes is essential to measuring impact, but it is unclear what outcomes patients and physicians consider important. This study aimed to develop a prioritized list of measurement areas informed by patients and primary care physicians (PCPs) to inform considerations for measuring patient-clinician interaction for PC CDS.

methodsWe conducted a modified Delphi study to understand patients' and PCPs' perspectives on the importance of fifteen previously identified patient-clinician interaction measurement areas for PC CDS. We conducted a three-round process with nine patients and nine PCP participants: (1) rating importance of measurement areas, (2) online discussion of ratings, and (3) forced-choice ranking activity of measurement areas.

resultsPatients and PCPs generally agreed about the importance of communication quality and trust in clinicians, and the interconnectedness of these areas. They additionally agreed that the relative importance of measurement areas depends on context and described contextual factors such as care expectations and patient complexity. Patients and PCPs also agreed that satisfaction, decision regret and discharge preparedness are of lower importance for PC CDS measurement. However, patients and PCPs had differing views on the importance of measuring access to information, decision quality and self-management. Patients ranked access to information higher than PCPs, while PCPs ranked decision quality and self-management higher than patients.

conclusionsAssessments of PC CDS effectiveness should consider what outcomes are most important to CDS end-users. Measurement of PC CDS is limited by logistics and feasibility considerations, and researchers should examine the outcomes assessed in PC CDS studies and identify opportunities to assess measurement areas important to key stakeholders. The results of this activity highlight areas for future work, including the importance of understanding how measurement of these areas may be impacted by context (e.g. patient complexity, disease status).

Indexed as

Decision Support Systems, ClinicalPatient-Centered CarePhysician-Patient RelationsPhysicians, Primary CareAdultAgedDelphi TechniqueFemaleHumansMaleMiddle AgedClinical decision supportModified DelphiPatient-centeredPrimary care

Identifiers

PMID42897641
PMCPMC13678928

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.