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Barriers and facilitators in using a Clinical Decision Support System for fall risk management for older people: a European survey

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F60076658%3A12110%2F22%3A43903528" target="_blank" >RIV/60076658:12110/22:43903528 - isvavai.cz</a>

  • Alternative codes found

    RIV/00216208:11110/22:10437381

  • Result on the web

    <a href="https://biblio.ugent.be/publication/8734223/file/8734224.pdf" target="_blank" >https://biblio.ugent.be/publication/8734223/file/8734224.pdf</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1007/s41999-021-00599-w" target="_blank" >10.1007/s41999-021-00599-w</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Barriers and facilitators in using a Clinical Decision Support System for fall risk management for older people: a European survey

  • Original language description

    Abstract Purpose Fall-Risk Increasing Drugs (FRIDs) are an important and modifiable fall-risk factor. A Clinical Decision Support System (CDSS) could support doctors in optimal FRIDs deprescribing. Understanding barriers and facilitators is important for a successful implementation of any CDSS. We conducted a European survey to assess barriers and facilitators to CDSS use and explored differences in their perceptions. Methods We examined and compared the relative importance and the occurrence of regional differences of a literature-based list of barriers and facilitators for CDSS usage among physicians treating older fallers from 11 European countries. Results We surveyed 581 physicians (mean age 44.9 years, 64.5% female, 71.3% geriatricians). The main barriers were technical issues (66%) and indicating a reason before overriding an alert (58%). The main facilitators were a CDSS that is beneficial for patient care (68%) and easy-to-use (64%). We identified regional differences, e.g., expense and legal issues were barriers for significantly more Eastern-European physicians compared to other regions, while training was selected less often as a facilitator by West-European physicians. Some physicians believed that due to the medical complexity of their patients, their own clinical judgement is better than advice from the CDSS. Conclusion When designing a CDSS for Geriatric Medicine, the patient&apos;s medical complexity must be addressed whilst maintaining the doctor&apos;s decision-making autonomy. For a successful CDSS implementation in Europe, regional differences in barrier perception should be overcome. Equipping a CDSS with prediction models has the potential to provide individualized recommendations for deprescribing FRIDs in older falls patients.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30227 - Geriatrics and gerontology

Result continuities

  • Project

  • Continuities

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Others

  • Publication year

    2022

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    European Geriatric Medicine

  • ISSN

    1878-7649

  • e-ISSN

    1878-7657

  • Volume of the periodical

    13

  • Issue of the periodical within the volume

    2

  • Country of publishing house

    US - UNITED STATES

  • Number of pages

    11

  • Pages from-to

    395-405

  • UT code for WoS article

    000742786600001

  • EID of the result in the Scopus database

    2-s2.0-85123235750