Adoption, acceptance, and use of a decision support tool to promote timely investigations for cancer in primary care

dc.contributor.authorChima, Sophie
dc.contributor.authorHunter, Barbara
dc.contributor.authorMartinez-Gutierrez, Javiera
dc.contributor.authorLumsden, Natalie
dc.contributor.authorNelson, Craig
dc.contributor.authorManski-Nankervis, Jo-Anne
dc.contributor.authorEmery, Jon
dc.date.accessioned2025-01-20T16:05:46Z
dc.date.available2025-01-20T16:05:46Z
dc.date.issued2024
dc.description.abstractBackground The complexities of diagnosing cancer in general practice has driven the development of quality improvement (QI) interventions, including clinical decision support (CDS) and auditing tools. Future Health Today (FHT) is a novel QI tool, consisting of CDS at the point-of-care, practice population-level auditing, recall, and the monitoring of QI activities.Objectives Explore the acceptability and usability of the FHT cancer module, which flags patients with abnormal test results that may be indicative of undiagnosed cancer.Methods Interviews were conducted with general practitioners (GPs) and general practice nurses (GPNs), from practices participating in a randomized trial evaluating the appropriate follow-up of patients. Clinical Performance Feedback Intervention Theory (CP-FIT) was used to analyse and interpret the data.Results The majority of practices reported not using the auditing and QI components of the tool, only the CDS which was delivered at the point-of-care. The tool was used primarily by GPs; GPNs did not perceive the clinical recommendations to be within their role. For the CDS, facilitators for use included a good workflow fit, ease of use, low time cost, importance, and perceived knowledge gain. Barriers for use of the CDS included accuracy, competing priorities, and the patient population.Conclusions The CDS aligned with the clinical workflow of GPs, was considered non-disruptive to the consultation and easy to implement into usual care. By applying the CP-FIT theory, we were able to demonstrate the key drivers for GPs using the tool, and what limited the use by GPNs.
dc.fuente.origenWOS
dc.identifier.doi10.1093/fampra/cmae046
dc.identifier.eissn1460-2229
dc.identifier.issn0263-2136
dc.identifier.urihttps://doi.org/10.1093/fampra/cmae046
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/89925
dc.identifier.wosidWOS:001335630400001
dc.language.isoen
dc.revistaFamily practice
dc.rightsacceso restringido
dc.subjectprimary care
dc.subjectclinical decision support
dc.subjectelectronic medical records
dc.subjectcancer diagnosis
dc.titleAdoption, acceptance, and use of a decision support tool to promote timely investigations for cancer in primary care
dc.typeartículo
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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