General practitioners’ attitudes towards decision-supported prescribing: An analysis of the Dutch primary care sector
@article{Meulendijk2013GeneralPA,
title={General practitioners’ attitudes towards decision-supported prescribing: An analysis of the Dutch primary care sector},
author={Michiel C. Meulendijk and Marco Ren{\'e} Spruit and Clara Drenth-van Maanen and Mattijs E. Numans and Sjaak Brinkkemper and Paul Jansen},
journal={Health Informatics Journal},
year={2013},
volume={19},
pages={247 - 263}
}The use of multiple drugs by patients increases the risk of medical problems. Clinical decision support could assist general practitioners with prescribing but is underused. This article aims to investigate the attitudes of general practitioners towards using decision support systems. A survey was distributed among 500 Dutch general practitioners. Virtually all 184 respondents indicated having a clinical information system, while only 21 percent indicated having a decision support plug-in; this…
28 Citations
Optimizing medication reviews through decision support : prescribing a better pill to swallow
- Medicine
- 2016
The conception and development of a decision support system to facilitate the conduct of structured medication reviews by physicians and pharmacists in primary care is described and the resulting system is validated in both a controlled environment and in practice and is shown to significantly improve practitioners’ effectiveness and efficiency in optimizing medication.
Computerized Decision Support Improves Medication Review Effectiveness: An Experiment Evaluating the STRIP Assistant’s Usability
- MedicineDrugs & Aging
- 2015
The STRIP Assistant improves the effectiveness of medication reviews for polypharmacy patients and is validated as a tool for physicians to optimize medical records for poly PHARMacy patients.
STRIPA: A Rule-Based Decision Support System for Medication Reviews in Primary Care
- MedicineECIS
- 2015
The authors believe that one process-oriented decision support system, built around a context-aware rule engine, operated through an intuitive user interface, is able to contribute to improving drug prescription practices.
The Systematic Tool to Reduce Inappropriate Prescribing (STRIP): Combining implicit and explicit prescribing tools to improve appropriate prescribing
- Medicine, Political ScienceJournal of evaluation in clinical practice
- 2018
The Systematic Tool to Reduce Inappropriate Prescribing (STRIP) combines implicit prescribing tools with the explicit Screening Tool to Alert physicians to the Right Treatment and Screening tool of Older People's potentially inappropriate Prescriptions criteria and has shared decision-making with the patient as a critical step.
From sensitization to adoption? A qualitative study of the implementation of a digitally supported intervention for clinical decision making in polypharmacy
- Medicine, PsychologyImplementation Science
- 2020
Analysis of the adoption behavior of a digitally supported intervention in polypharmacy revealed both simple and complex pathways from awareness to adoption, which may impact the implementation of the intervention and therefore, its effectiveness.
Personalization and Patient Involvement in Decision Support Systems: Current Trends.
- Medicine, Computer ScienceYearbook of medical informatics
- 2015
Overall, the authors have noticed interesting evolutions of medical DSSs to improve communication with the patient, consider the economic and organizational impact, and use standard models for knowledge representation/management issues.
Quality in Australian after‐hours doctor home visits: exploring the clinical, professional and security supports available to involved practitioners
- Political Science, MedicineJournal of evaluation in clinical practice
- 2017
There is room for improvement regarding support on AHHC in Australia, and concerned Surgeries should ensure that where available these supports are appropriately utilized.
Efficiency of Clinical Decision Support Systems Improves with Experience
- MedicineJournal of Medical Systems
- 2015
The authors conclude that the amount of time users needed to perform similar tasks decreased significantly as they gained experience over time.
The effectiveness of optimised clinical medication reviews for geriatric patients: Opti-Med a cluster randomised controlled trial
- MedicineFamily practice
- 2017
The study intervention did not influence quality of life (QoL) and geriatric problems and CMRs on a large scale seem not meaningful and should be reconsidered.
Effects of a computerized decision support system in improving pharmacological management in high-risk cardiovascular patients: A cluster-randomized open-label controlled trial
- MedicineHealth Informatics J.
- 2016
In conclusion, computerized decision support system significantly increased the use of recommended cardiovascular drugs in diabetic patients, but it did not influence the exposure to potential interactions.
References
SHOWING 1-10 OF 51 REFERENCES
The acceptance of a computerised decision-support system in primary care: A preliminary investigation
- MedicineBehav. Inf. Technol.
- 2004
The results confirm relationships between acceptance factors in a new domain, but most importantly they indicate the need to consider the balance of perceived advantages, or benefits, and disadvantages, or costs, of a new system in technology acceptance modelling.
The Limited Acceptance of an Electronic Prescription System by General Practitioners: Reasons and Practical Implications
- Medicine, Political Science
- 2004
An interpretive perspective is used to analyse the reasons for limited acceptance of the electronic prescription system in the Netherlands to control the cost of drugs prescribed by general practitioners.
The medical office of the 21st century (MOXXI): effectiveness of computerized decision-making support in reducing inappropriate prescribing in primary care.
- Medicine, Political ScienceCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
- 2003
Computer-based access to complete drug profiles and alerts about potential prescribing problems reduces the rate of initiation of potentially inappropriate prescriptions but has a more selective effect on the discontinuation of such prescriptions.
The effect of computer reminders on GPs' prescribing behaviour: A cluster-randomised trial
- Medicine, Political ScienceInt. J. Medical Informatics
- 2007
Labour intensity of guidelines may have a greater effect on adherence than GPs' workload
- Medicine, Political ScienceBMC family practice
- 2009
No significant relationship was found between the objective workload of GPs and adherence to guidelines, however, guideline recommendations that require an extra time investment are significantly less well adhered to while those that can save time are significantly more oftenAdherence to guidelines.
Research Paper: The Effects of Creating Psychological Ownership on Physicians' Acceptance of Clinical Information Systems
- MedicineJ. Am. Medical Informatics Assoc.
- 2006
Results demonstrate that psychological ownership of a POE system is positively associated with physicians' perceptions of system utility and system user friendliness, and indicates that through their active involvement and participation, physicians feel they have greater influence on the development process, thereby developing feelings of ownership toward the clinical system.
Adoption and use of stand-alone electronic prescribing in a health plan-sponsored initiative.
- Medicine, Political ScienceThe American journal of managed care
- 2010
Certain categories of physicians may need more tailored incentives to adopt SEP and some adopters achieved high levels of SEP use, and further research is needed to elucidate the factors that enabled this.
Acceptance of health information technology in health professionals: An application of the revised technology acceptance model
- MedicineHealth Informatics J.
- 2012
It was showed that perceived ease of use, but not usefulness, relevance and subjective norms directly predicted HIT usage intentions, which suggests that a modification of the original TAM approach is needed to better understand health professionals’ support and endorsement of HIT.
Prescribing Optimization Method for Improving Prescribing in Elderly Patients Receiving Polypharmacy
- MedicineDrugs & aging
- 2009
The Prescribing Optimization Method improves appropriate prescribing of complex polypharmacy in case histories by significantly improving the proportion of correct decisions and the number of potentially harmful decisions.
Prescribing errors in general practice: A prospective study
- MedicineThe European journal of general practice
- 2009
The aim of this study was to estimate the seriousness and level of prescribing errors that occurred in general practice and documented errors in prescriptions from 28 general practitioners as they occurred over a 3-day period in 12 community pharmacies.



