Date

September 2010

Document Type

Dissertation

Degree Name

Ph.D.

Department

Dept. of Medical Informatics and Clinical Epidemiology

Institution

Oregon Health & Science University

Abstract

Background: Community-based practices are being incentivized with Medicare and Medicaid dollars to install EHR systems that include clinical decision support (CDS) technology. This represents a relatively new subject population in biomedical informatics that will be using clinical decision support tools. This research endeavored to understand from community-based physicians‘ viewpoints what CDS means to them and what it can do to meet their needs. The purpose of the inquiry is to inform the design of CDS tools for these environments. Methods: The researcher carried out a user-centered needs assessment among 30 primary care physicians and one nurse administrator in community-based settings through in-practice observations and interviews. Interview and observation data was coded using multiple frameworks to explain user needs. First, a grounded method was used to generate themes associated with CDS needs from physicians‘ points of view. Second, a content analysis was conducted to determi

Identifier

doi:10.6083/M40P0X1B

School

School of Medicine

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