Development of a prototype clinical decision support tool for osteoporosis disease management: a qualitative study of focus groups.

BMC Medical Informatics and Decision Making
Monika KastnerS E Straus

Abstract

Osteoporosis affects over 200 million people worldwide, and represents a significant cost burden. Although guidelines are available for best practice in osteoporosis, evidence indicates that patients are not receiving appropriate diagnostic testing or treatment according to guidelines. The use of clinical decision support systems (CDSSs) may be one solution because they can facilitate knowledge translation by providing high-quality evidence at the point of care. Findings from a systematic review of osteoporosis interventions and consultation with clinical and human factors engineering experts were used to develop a conceptual model of an osteoporosis tool. We conducted a qualitative study of focus groups to better understand physicians' perceptions of CDSSs and to transform the conceptual osteoporosis tool into a functional prototype that can support clinical decision making in osteoporosis disease management at the point of care. The conceptual design of the osteoporosis tool was tested in 4 progressive focus groups with family physicians and general internists. An iterative strategy was used to qualitatively explore the experiences of physicians with CDSSs; and to find out what features, functions, and evidence should be incl...Continue Reading

References

Jan 1, 1997·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·B GullbergJ A Kanis
May 29, 1998·Circulation·P W WilsonW B Kannel
Jun 7, 2002·Lancet·Steven R Cummings, L Joseph Melton
Jul 25, 2003·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·Susan B JaglalDave Davis
Aug 20, 2003·Journal of the American Medical Informatics Association : JAMIA·David W BatesBlackford Middleton
Feb 13, 2004·Health Technology Assessment : HTA·J M GrimshawC Donaldson
Mar 16, 2004·Journal of Biomedical Informatics·Andre W Kushniruk, Vimla L Patel
Apr 8, 2004·BMC Musculoskeletal Disorders·A PapaioannouJ D Adachi
Dec 21, 2004·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·Paul Lips, Natasja M van Schoor
Jan 22, 2005·Health Affairs·David J Brailer
Feb 23, 2005·The European Journal of General Practice·Samuel Coenen, Sigvard Mölstad
Mar 10, 2005·JAMA : the Journal of the American Medical Association·Amit X GargR Brian Haynes
Apr 2, 2005·BMJ : British Medical Journal·Gretchen P Purcell
Oct 8, 2005·BMJ : British Medical Journal·Frank Sullivan, Jeremy C Wyatt
Feb 2, 2006·American Journal of Obstetrics and Gynecology·Nancy E Lane
Feb 4, 2006·Bone·Jean-Yves Reginster, Nansa Burlet
May 11, 2006·Health Affairs·Gerard F AndersonUwe E Reinhardt
Jul 13, 2006·Current Medical Research and Opinion·Ron GoereeJonathan Adachi
Dec 6, 2006·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·Russel BurgeAnna Tosteson
May 9, 2007·Journal of Clinical Densitometry : the Official Journal of the International Society for Clinical Densitometry·Kerry SiminoskiJacques P Brown
Apr 9, 2008·European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology·Sue WellsRod Jackson
Jun 21, 2008·The New England Journal of Medicine·Catherine M DesRochesDavid Blumenthal
Jul 17, 2008·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·A CranneyI D Graham
Oct 7, 2008·Journal of General Internal Medicine·Monika Kastner, Sharon E Straus
Oct 16, 2008·The American Journal of Gastroenterology·James Leavitt
Dec 11, 2008·Healthcare Quarterly·Tezeta F Mitiku, Karen Tu

❮ Previous
Next ❯

Citations

Jan 29, 2013·BMC Health Services Research·Henry T StelfoxAnna R Gagliardi
Dec 15, 2010·Implementation Science : IS·Monika KastnerSharon E Straus
Jul 19, 2013·Archives of Orthopaedic and Trauma Surgery·A Hoang-KimS Reeves
Mar 21, 2015·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·A ClaessonH Salminen
Jul 5, 2018·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Samir GuptaJoanna E M Sale
Jan 24, 2019·Health Informatics Journal·Victor Lam Shin CheungSamir Gupta
Oct 19, 2017·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·M KastnerS E Straus
Apr 28, 2019·Archives of Osteoporosis·Helena SalminenE Toth-Pal
Dec 21, 2016·Journal of Osteoporosis·A E Bombak, H M Hanson
May 28, 2019·Journal of the American Medical Informatics Association : JAMIA·Christopher A AakreDavid A Cook
Sep 24, 2021·Applied Clinical Informatics·Liza Prudente Moorman

❮ Previous
Next ❯

Software Mentioned

NVivo
Tablet
BestPROMPT

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.

Related Papers

Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA
Susan B JaglalDave Davis
Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA
Paul Lips, Natasja M van Schoor
Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA
C CooperJ-Y Reginster
© 2021 Meta ULC. All rights reserved