Primary care physician attitudes concerning follow-up of abnormal test results and ambulatory decision support systems

Objectives: Failures to follow-up abnormal test results are common in ambulatory care. Information systems could assist providers with abnormal test result tracking, yet little is known about primary care providers attitudes toward outpatient decision support systems. Methods: A cross-sectional surv...

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Bibliographic Details
Published in:	International journal of medical informatics (Shannon, Ireland) Vol. 71; no. 2; pp. 137 - 149
Main Authors:	Murff, H.J., Gandhi, T.K., Karson, A.K., Mort, E.A., Poon, E.G., Wang, S.J., Fairchild, D.G., Bates, D.W.
Format:	Journal Article
Language:	English
Published:	Shannon Elsevier Ireland Ltd 01-09-2003 Elsevier
Subjects:	Adult Ambulatory Care Information Systems - statistics & numerical data Attitude of Health Personnel Attitude to Computers Biological and medical sciences Boston Clinical decision support systems Continuity of Patient Care decision support systems Decision Support Systems, Clinical - statistics & numerical data Diagnostic Tests, Routine Electronic medical records Female Humans Male Medical Records Systems, Computerized - standards Medical Records Systems, Computerized - statistics & numerical data Medical sciences Middle Aged Patient safety Physician satisfaction Physicians, Family - psychology Primary care Primary Health Care - methods Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Results follow-up Surveys and Questionnaires Technology. Biomaterials. Equipments. Material. Instrumentation User-Computer Interface Boston Patient safety Physician satisfaction Results follow-up Clinical decision support systems Electronic medical records Primary care Biomedical engineering
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Summary:	Objectives: Failures to follow-up abnormal test results are common in ambulatory care. Information systems could assist providers with abnormal test result tracking, yet little is known about primary care providers attitudes toward outpatient decision support systems. Methods: A cross-sectional survey of 216 primary care physicians (PCPs) that utilize a single electronic medical record (EMR) without computer-based clinical decision support. Results: The overall response rate was 65% (140/216). Less than one-third of the respondents were satisfied with their current system to manage abnormal laboratory, radiographs, Pap smear, or mammograms results. Only 15% of providers were satisfied with their system to notify patients of abnormal results. Over 90% of respondents felt automated systems to track abnormal test results would be useful. Seventy-nine percent of our respondents believed that they could comply better with guidelines through electronic clinical reminders. Conclusions: Most PCPs were not satisfied with their methods for tracking abnormal results. Respondents believed that clinical decision support systems (CDSS) would be useful and could improve their ability to track abnormal results.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 ObjectType-Article-1 ObjectType-Feature-2
ISSN:	1386-5056 1872-8243
DOI:	10.1016/S1386-5056(03)00133-3