Evaluating the effectiveness of clinical decision support systems: the case of multimorbidity care

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dc.contributor.authorGrace, Audrey
dc.contributor.authorMahony, Carolanne
dc.contributor.authorO'Donoghue, John
dc.contributor.authorHeffernan, Tony
dc.contributor.authorMolony, David
dc.contributor.authorCarroll, Thomas
dc.date.accessioned2018-08-02T10:49:44Z
dc.date.available2018-08-02T10:49:44Z
dc.date.issued2013-04-23
dc.date.updated2018-08-02T10:42:45Z
dc.description.abstractGeneral Practitioners (GPs) and healthcare systems, worldwide, are overwhelmed by the growing number of patients with multimorbidity, particularly in light of the additional complexity and costs involved in treating these patients. While it has been proven that clinical decision support systems (CDSS) play a key role in supporting healthcare decisions, there is little research into their role in the case of multimorbidity. This study examines practice systems currently used in Ireland and evaluates their effectiveness in such circumstances. The findings uncover a number of deficiencies, including: (1) the lack of provision of integrated medical guidelines for multiple chronic diseases within the CDSS, (2) the inability to centralise the patient rather than the disease, (3) the difficulty in seamlessly integrating CDSS into the patient consultation, and (4) the lack of adequate training of GPs on how best to use CDSS in multimorbidity decision making. The study underlines the need for further research into CDSS and multimorbidity, and highlights some of the key issues that must be addressed in order to improve how CDSS support the care of multimorbid patients.en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationGrace, A., Mahony, C., O’Donoghue, J., Heffernan, T., Molony, D. and Carroll, T. (2013) 'Evaluating the effectiveness of clinical decision support systems: the case of multimorbidity care', Journal of Decision Systems, 22(2), pp. 97-108. doi: 10.1080/12460125.2013.780320en
dc.identifier.doi10.1080/12460125.2013.780320
dc.identifier.endpage108en
dc.identifier.issn1246-0125
dc.identifier.issued3en
dc.identifier.journaltitleJournal of Decision Systemsen
dc.identifier.startpage97en
dc.identifier.urihttps://hdl.handle.net/10468/6565
dc.identifier.volume22en
dc.language.isoenen
dc.publisherTaylor & Francisen
dc.relation.urihttps://www.tandfonline.com/doi/abs/10.1080/12460125.2013.780320
dc.rights© 2013 Taylor & Francis. This is an Accepted Manuscript of an article published by Taylor & Francis in Journal of Decision Systems on 23 Apr 2013, available online: http://www.tandfonline.com/10.1080/12460125.2013.780320en
dc.subjectClinical decision support systemsen
dc.subjectDecision-makingen
dc.subjectMultimorbidityen
dc.subjectChronic diseaseen
dc.subjectInformation systemsen
dc.subjectSensibilityen
dc.titleEvaluating the effectiveness of clinical decision support systems: the case of multimorbidity careen
dc.typeArticle (peer-reviewed)en
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