GPs (N = 112) N (%) | N of valid responses | PN (n = 52) N (%) | N of valid responses | |
---|---|---|---|---|
Knowledge-related barriers | ||||
Knowledge of existence of NHGDoc | 2 (2 %) | 111 | 9 (18 %) | 50 |
Knowledge of basic functions | ||||
Alerts | 1 (1 %) | 109 | 0 (0 %) | 40 |
Feedback | 45 (41 %) | 109 | 22 (55 %) | 40 |
Knowledge of personalization functions | ||||
My NHGDoc | 34 (31 %) | 109 | 16 (40 %) | 40 |
Alerts settings | 50 (46 %) | 109 | 26 (65 %) | 40 |
Reporting settings | 56 (51 %) | 109 | 28 (70 %) | 40 |
Barriers related to the evaluation of the features of the CDSS | ||||
Source and content of the CDSS | ||||
Reliability of the source of the content | 4 (4 %) | 104 | 0 (0 %) | 37 |
Currentness of the content | 11 (11 %) | 101 | 6 (16 %) | 37 |
Relevance of the alert content for individual users, with varying needs across time | 57 (58 %) | 98 | 24 (62 %) | 39 |
Relevance of the alert content for different user groups | 13 (13 %) | 99 | 4 (11 %) | 38 |
Format/lay out of the CDSS content | ||||
Notification method of alerts (too intrusive) | 7 (7 %) | 105 | 1 (3 %) | 38 |
Notification method of alerts (uninformative) | 17 (17 %) | 100 | 4 (11 %) | 37 |
Readability of the alert text (too wordy/verbose) | 15 (15 %) | 98 | 2 (5 %) | 38 |
Functionality of the CDSS | ||||
Responsiveness of the system (retrieval of an alert takes too long) | 32 (33 %) | 98 | 14 (38 %) | 37 |
Intensity of alerts (low threshold for triggering alerts) | 39 (40 %) | 98 | 12 (32 %) | 38 |
Flexibility (lack of adjustability to personal preferences) | 16 (18 %) | 90 | 7 (23 %) | 30 |
Learning capacity of the system (only fixed rules are used) | 84 (80 %) | 105 | 27 (75 %) | 36 |
External barriers interacting with the CDSS | ||||
Patient-related factors | ||||
Doctor-patient communication (too much time spent on the computer during consultation) | 26 (26 %) | 101 | 8 (22 %) | 37 |
Relevance of alert content for patient (discrepancy between patient’s reason for visit and alert content) | 5 (5 %) | 100 | 3 (8 %) | 37 |
Environmental factors | ||||
Limited time available (during and after consultation) | 61 (60 %) | 101 | 6 (16 %) | 37 |
Too much additional work required (during and after consultation) | 61 (60 %) | 100 | 10 (27 %) | 37 |
Lack of integration with other systems (no direct links to follow-up actions) | 25 (27 %) | 93 | 7 (21 %) | 34 |
Fear for misuse of data (patient data and medical practice) by third parties (i.e. health insurers) | 11 (11 %) | 104 | 3 (8 %) | 36 |