Are clinical decision support systems seen as helpful to First Contact Practitioners (FCPs) working in musculoskeletal health?

IF 3.1 3区医学 Q1 REHABILITATION Physiotherapy Pub Date : 2024-10-29 DOI:10.1016/j.physio.2024.101445

Emma Salt , Mo Khalid , Danielle Van Der Windt , Jonathan Hill

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Abstract

Background

There is increasing burden on musculoskeletal (MSK) First Contact Practitioners (FCPs) working in primary care. One possible solution is to use digital technologies such as clinical decision support systems (CDSS). The primary objective of this study was to understand the potential for MSK FCPs to use a CDSS to support their practice in the United Kingdom.

Design

An exploratory sequential mixed methods design, using a cross sectional survey questionnaire and a subsequent focus group.

Following ethical approval responders were recruited via professional networks to complete an online survey. A subsequent focus group enabled an in-depth exploration of survey results. Descriptive statistics were used to summarise survey data and thematic analysis with normalisation process theory used to describe findings.

Methods

A snowball sampling method was used to invite MSK FCPs to complete the survey, using email, adverts and social media. The questionnaire captured responders’ demographic and professional practice characteristics, their knowledge and use of CDSS and their views and experiences regarding CDSS in MSK practice.

Results

There were 75 responders to the survey and six participants in the focus group. The majority of responders 67% (n = 50/75) reported to be in favour of integrating a CDSS into their practice. Three themes were: 1) ensuring CDSS address efficiency concerns, 2) using CDSS to reduce unwarranted variation in practice, and 3) ensuring CDSS sustainability.

Conclusions

CDSSs have potential value for FCPs working in MSK primary care settings. Eight summary recommendations advise future developments of CDSS for FCPs working in MSK primary care practice.

Contribution of the Paper

•
This is the first known study evaluating the usefulness of clinical decision support systems (CDSS) for musculoskeletal (MSK) First Contact Practitioners (FCPs).
•
CDSS have potential value for MSK FCPs providing they are integrated into existing digital note systems and save clinic consultation time.
•
Eight recommendations advise future integration of CDSS into MSK FCP practice.

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临床决策支持系统对从事肌肉骨骼健康工作的首次接触从业者（fcp）有帮助吗？

背景：在初级保健中工作的肌肉骨骼（MSK）首次接触从业者（fcp）的负担越来越重。一个可能的解决方案是使用数字技术，如临床决策支持系统（CDSS）。本研究的主要目的是了解MSK fcp在英国使用CDSS来支持其实践的潜力。设计：探索性顺序混合方法设计，采用横断面调查问卷和随后的焦点小组。伦理批准后，应答者通过专业网络被招募来完成一项在线调查。随后的焦点小组对调查结果进行了深入探讨。描述性统计用于总结调查数据和专题分析，并使用标准化过程理论来描述调查结果。方法：采用滚雪球抽样法，通过电子邮件、广告、社交媒体等方式邀请MSK fcp完成调查。问卷收集了应答者的人口学特征和专业实践特征，他们对CDSS的知识和使用，以及他们在MSK实践中对CDSS的看法和经验。结果：调查有75名应答者，焦点小组有6名参与者。大多数应答者67% （n = 50/75）报告赞成将CDSS纳入其实践。三个主题是：1)确保CDSS解决效率问题；2)使用CDSS减少实践中不必要的变化；3)确保CDSS的可持续性。结论：cdss对在MSK初级保健机构工作的fcp具有潜在价值。八项总结建议为在MSK初级保健实践中工作的fcp的CDSS的未来发展提供建议。论文贡献。

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来源期刊

Physiotherapy 医学-康复医学

CiteScore

6.40

自引率

3.00%

发文量

377

审稿时长

82 days

期刊介绍： Physiotherapy aims to publish original research and facilitate continuing professional development for physiotherapists and other health professions worldwide. Dedicated to the advancement of physiotherapy through publication of research and scholarly work concerned with, but not limited to, its scientific basis and clinical application, education of practitioners, management of services and policy. We are pleased to receive articles reporting original scientific research, systematic reviews or meta-analyses, theoretical or debate articles, brief reports and technical reports. All papers should demonstrate methodological rigour.