Barriers and facilitators to implementing cancer prevention clinical decision support in primary care: a qualitative study

BMC Health Services Research
Melissa L HarryThomas E Elliott

Abstract

In the United States, primary care providers (PCPs) routinely balance acute, chronic, and preventive patient care delivery, including cancer prevention and screening, in time-limited visits. Clinical decision support (CDS) may help PCPs prioritize cancer prevention and screening with other patient needs. In a three-arm, pragmatic, clinic-randomized control trial, we are studying cancer prevention CDS in a large, upper Midwestern healthcare system. The web-based, electronic health record (EHR)-linked CDS integrates evidence-based primary and secondary cancer prevention and screening recommendations into an existing cardiovascular risk management CDS system. Our objective with this study was to identify adoption barriers and facilitators before implementation in primary care. We conducted semi-structured interviews guided by the Consolidated Framework for Implementation Research (CFIR) with 28 key informants employed by the healthcare organization in either leadership roles or the direct provision of clinical care. Transcribed interviews were analyzed using qualitative content analysis. EHR, CDS workflow, CDS users (providers and patients), training, and organizational barriers and facilitators were identified related to Interven...Continue Reading

Associated Clinical Trials

References

Aug 20, 2003·Journal of the American Medical Informatics Association : JAMIA·David W BatesBlackford Middleton
Jan 30, 2009·Journal of the National Cancer Institute·Karen Rowan
May 24, 2012·Journal of General Internal Medicine·Glyn ElwynMichael Barry
Feb 16, 2013·BMJ : British Medical Journal·Pavel S RoshanovR Brian Haynes
May 18, 2013·Asian Pacific Journal of Cancer Prevention : APJCP·Harry T KwonMin Qi Wang
Mar 19, 2015·JMIR Medical Informatics·Paolo FraccaroIain Buchan
Oct 21, 2015·Journal of the National Cancer Institute·Francine L Jacobson
Feb 26, 2016·Journal of the American Medical Informatics Association : JAMIA·Stephanie MedlockAmeen Abu-Hanna
Oct 18, 2016·American Journal of Preventive Medicine· Community Preventive Services Task Force
Apr 13, 2017·The Cochrane Database of Systematic Reviews·Dawn StaceyLyndal Trevena
Jun 27, 2018·Implementation Science : IS·Stijn Van de VeldeUNKNOWN GUIDES expert panel
Jul 10, 2018·Journal of the American Medical Informatics Association : JAMIA·JoAnn M Sperl-HillenPatrick J O'Connor

❮ Previous
Next ❯

Citations

Jun 25, 2020·BMC Medical Informatics and Decision Making·Melissa L HarryThomas E Elliott
Aug 28, 2021·International Journal of Environmental Research and Public Health·Taku HaradaTaro Shimizu

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.