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首页> 外文会议>German Association of Medical Informatics, Biometry and Epidemiology., Annual Meeting >Factors Influencing the Implementation and Distribution of Clinical Decision Support Systems (CDSS)
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Factors Influencing the Implementation and Distribution of Clinical Decision Support Systems (CDSS)

机译：影响临床决策支持系统实施和分配的因素（CDSS）

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Clinical Decision Support Systems (CDSS) can have positive effects on quality of care measures, yet have not gained widespread traction in healthcare. This study sought to determine and evaluate barriers and facilitators to CDSS implementation and distribution. Based on 768 systems identified in a literature review we conducted semi-structured telephone interviews with 54 system developers in 16 countries. Qualitative analysis led to the identification of 66 key factors influencing implementation. Central issues evolved around CDSS properties, quality and integration, as well as usability, user related factors, internal marketing, resource issues and collaborations with emphasis partly on topics differing from existing research. Additionally, evidence pointed to regional differences regarding implementation hurdles. Recent regulatory requirements were deemed less of a barrier to system adoption than expected, even though lacking expertise in this area was surprisingly common among interview partners.
机译：临床决策支持系统（CDSS）可以对护理质量产生积极影响，但在医疗保健中尚未获得普遍的牵引力。本研究试图确定和评估障碍和促进者以CDSS的实施和分配。基于文献综述中确定的768个系统，我们在16个国家/地区进行了半结构化电话采访。定性分析导致识别影响实施的66个关键因素。核心问题在CDSS属性，质量和集成以及可用性，用户相关因素，内部营销，资源问题和重点是部分讨论了与现有研究不同的主题。此外，证据指出有关实施障碍的区域差异。最近的监管要求被视为对系统采用的障碍较少，尽管缺乏这一领域的专业知识令人惊讶的是在面试合作伙伴中令人惊讶的是。

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