Clinician attitudes toward and use of electronic problem lists: a thematic analysis

BMC Medical Informatics and Decision Making

Research Article

Joshua C Feblowitz¹  Adam Wright²  Francine L Maloney³ 

[1] Brigham and Women's Hospital, Boston, MA, USA;Brigham and Women's Hospital, Boston, MA, USA;Harvard Medical School, Boston, MA, USA;Partners HealthCare, Boston, MA, USA;Partners HealthCare, Boston, MA, USA;

关键词: Electronic Health Record;    Clinical Decision Support;    Clinical Decision Support System;    Problem List;    Provider Attitude;   

DOI  :  10.1186/1472-6947-11-36

 received in 2010-11-09, accepted in 2011-05-25,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundThe clinical problem list is an important tool for clinical decision making, quality measurement and clinical decision support; however, problem lists are often incomplete and provider attitudes towards the problem list are poorly understood.MethodsAn ethnographic study of healthcare providers conducted from April 2009 to January 2010 was carried out among academic and community outpatient medical practices in the Greater Boston area across a wide range of medical and surgical specialties. Attitudes towards the problem list were then analyzed using grounded theory methods.ResultsAttitudes were variable, and dimensions of variations fit into nine themes: workflow, ownership and responsibility, relevance, uses, content, presentation, accuracy, alternatives, support/education and one cross-cutting theme of culture.ConclusionsSignificant variation was observed in clinician attitudes towards and use of the electronic patient problem list. Clearer guidance and best practices for problem list utilization are needed.

【 授权许可】

CC BY   
© Wright et al; licensee BioMed Central Ltd. 2011