User satisfaction with a real-time automated feedback system for general practitioners: a quantitative and qualitative study
Objective. The GRIF automated feedback system produces real-time comments on the appropriateness of diagnostic tests ordered by general practitioners (GPs) based on recommendations from accepted national and regional practice guidelines. We investigated the experiences of GPs with this system and, m...
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Veröffentlicht in: | International journal for quality in health care 2003-12, Vol.15 (6), p.501-508 |
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container_title | International journal for quality in health care |
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creator | Bindels, Rianne Hasman, Arie Derickx, Mieke van Wersch, Jan W. J. Winkens, Ron A. G. |
description | Objective. The GRIF automated feedback system produces real-time comments on the appropriateness of diagnostic tests ordered by general practitioners (GPs) based on recommendations from accepted national and regional practice guidelines. We investigated the experiences of GPs with this system and, more specifically, with the recommendations produced by the system as well as their views on using this system in daily practice. Setting. We tested the GRIF system in an experiment in a laboratory setting and in a daily practice trial. Study participants. General practitioners. Intervention. In the laboratory experiment, GPs used the GRIF system to assess the appropriateness of 30 request forms. Each of the GPs was confronted with requests they had submitted to the diagnostic unit of the hospital in the past. In the field trial, the GRIF system was applied during patient consultations for 1 year. Main outcome measures. We measured GPs’ satisfaction with the system using a questionnaire, and also conducted group discussions (in the laboratory experiment) and in-depth interviews (in the field trial) to elicit GPs’ opinions of and experiences with the system. In addition, we explored GPs’ reasons for not accepting the comments offered by the GRIF system. Results. The results show that the GPs in the laboratory experiment had more positive attitudes towards the system compared with participants in the field trial. All discussion groups and most of the GPs in the field trial regarded receiving the immediate feedback during the test ordering process as an important advantage. The most frequently mentioned reason to reject the recommendation was disagreement with the content and/or the recommendations in the practice guidelines. Conclusion. Apart from securing agreement on guideline content, a prerequisite for using GRIF in daily practice on a large scale is that more attention is paid to promotion of the guidelines and their adoption, and stimulation of a positive attitude towards the practice guidelines among the users. |
doi_str_mv | 10.1093/intqhc/mzg076 |
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J. ; Winkens, Ron A. G.</creator><creatorcontrib>Bindels, Rianne ; Hasman, Arie ; Derickx, Mieke ; van Wersch, Jan W. J. ; Winkens, Ron A. G.</creatorcontrib><description>Objective. The GRIF automated feedback system produces real-time comments on the appropriateness of diagnostic tests ordered by general practitioners (GPs) based on recommendations from accepted national and regional practice guidelines. We investigated the experiences of GPs with this system and, more specifically, with the recommendations produced by the system as well as their views on using this system in daily practice. Setting. We tested the GRIF system in an experiment in a laboratory setting and in a daily practice trial. Study participants. General practitioners. Intervention. In the laboratory experiment, GPs used the GRIF system to assess the appropriateness of 30 request forms. Each of the GPs was confronted with requests they had submitted to the diagnostic unit of the hospital in the past. In the field trial, the GRIF system was applied during patient consultations for 1 year. Main outcome measures. We measured GPs’ satisfaction with the system using a questionnaire, and also conducted group discussions (in the laboratory experiment) and in-depth interviews (in the field trial) to elicit GPs’ opinions of and experiences with the system. In addition, we explored GPs’ reasons for not accepting the comments offered by the GRIF system. Results. The results show that the GPs in the laboratory experiment had more positive attitudes towards the system compared with participants in the field trial. All discussion groups and most of the GPs in the field trial regarded receiving the immediate feedback during the test ordering process as an important advantage. The most frequently mentioned reason to reject the recommendation was disagreement with the content and/or the recommendations in the practice guidelines. Conclusion. Apart from securing agreement on guideline content, a prerequisite for using GRIF in daily practice on a large scale is that more attention is paid to promotion of the guidelines and their adoption, and stimulation of a positive attitude towards the practice guidelines among the users.</description><identifier>ISSN: 1353-4505</identifier><identifier>EISSN: 1464-3677</identifier><identifier>DOI: 10.1093/intqhc/mzg076</identifier><identifier>PMID: 14660533</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Attitude of Health Personnel ; Attitude to Computers ; clinical decision support systems ; Decision Support Systems, Clinical ; Diagnostic Services - statistics & numerical data ; Family Practice - education ; Family Practice - standards ; Feedback ; Female ; Guideline Adherence ; Hospitals, University ; Humans ; Male ; Middle Aged ; Netherlands ; Physicians, Family - psychology ; Practice Guidelines as Topic ; primary health care ; Primary Health Care - standards ; Surveys and Questionnaires ; User-Computer Interface ; user-satisfaction</subject><ispartof>International journal for quality in health care, 2003-12, Vol.15 (6), p.501-508</ispartof><rights>International Society for Quality in Health Care and Oxford University Press 2003</rights><rights>Copyright Oxford University Press(England) Dec 2003</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-ff45fb240f8bf284c0be68e438cdf373a53fc64c5fca328872e2d1f958471fd13</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/45126936$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/45126936$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,27924,27925,58017,58250</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14660533$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bindels, Rianne</creatorcontrib><creatorcontrib>Hasman, Arie</creatorcontrib><creatorcontrib>Derickx, Mieke</creatorcontrib><creatorcontrib>van Wersch, Jan W. J.</creatorcontrib><creatorcontrib>Winkens, Ron A. G.</creatorcontrib><title>User satisfaction with a real-time automated feedback system for general practitioners: a quantitative and qualitative study</title><title>International journal for quality in health care</title><addtitle>Int J Qual Health Care</addtitle><description>Objective. The GRIF automated feedback system produces real-time comments on the appropriateness of diagnostic tests ordered by general practitioners (GPs) based on recommendations from accepted national and regional practice guidelines. We investigated the experiences of GPs with this system and, more specifically, with the recommendations produced by the system as well as their views on using this system in daily practice. Setting. We tested the GRIF system in an experiment in a laboratory setting and in a daily practice trial. Study participants. General practitioners. Intervention. In the laboratory experiment, GPs used the GRIF system to assess the appropriateness of 30 request forms. Each of the GPs was confronted with requests they had submitted to the diagnostic unit of the hospital in the past. In the field trial, the GRIF system was applied during patient consultations for 1 year. Main outcome measures. We measured GPs’ satisfaction with the system using a questionnaire, and also conducted group discussions (in the laboratory experiment) and in-depth interviews (in the field trial) to elicit GPs’ opinions of and experiences with the system. In addition, we explored GPs’ reasons for not accepting the comments offered by the GRIF system. Results. The results show that the GPs in the laboratory experiment had more positive attitudes towards the system compared with participants in the field trial. All discussion groups and most of the GPs in the field trial regarded receiving the immediate feedback during the test ordering process as an important advantage. The most frequently mentioned reason to reject the recommendation was disagreement with the content and/or the recommendations in the practice guidelines. Conclusion. Apart from securing agreement on guideline content, a prerequisite for using GRIF in daily practice on a large scale is that more attention is paid to promotion of the guidelines and their adoption, and stimulation of a positive attitude towards the practice guidelines among the users.</description><subject>Attitude of Health Personnel</subject><subject>Attitude to Computers</subject><subject>clinical decision support systems</subject><subject>Decision Support Systems, Clinical</subject><subject>Diagnostic Services - statistics & numerical data</subject><subject>Family Practice - education</subject><subject>Family Practice - standards</subject><subject>Feedback</subject><subject>Female</subject><subject>Guideline Adherence</subject><subject>Hospitals, University</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Netherlands</subject><subject>Physicians, Family - psychology</subject><subject>Practice Guidelines as Topic</subject><subject>primary health care</subject><subject>Primary Health Care - standards</subject><subject>Surveys and Questionnaires</subject><subject>User-Computer Interface</subject><subject>user-satisfaction</subject><issn>1353-4505</issn><issn>1464-3677</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU1v1DAQhiMEoqVw5AiyOHALtTP-SLihFlpEpUpApYqL5TjjNtt87NoOsKg_vo6ybSVOtmceP2P5zbLXjH5gtILDdoiba3vY_7uiSj7J9hmXPAep1NO0BwE5F1TsZS9CWFHKJAj5PNtLkKQCYD-7vQjoSTCxDc7Y2I4D-dPGa2KIR9Plse2RmCmOvYnYEIfY1MbekLANEXviRk-ucEBvOrL28_3ZgD58TILNZIZUSOrfyTE0c6G7P4c4NduX2TNnuoCvdutBdvHl88-j0_zs_OTr0aez3HImYu4cF64uOHVl7YqSW1qjLJFDaRsHCowAZyW3wlkDRVmqAouGuUqUXDHXMDjI3i_etR83E4ao-zZY7Doz4DgFrRgHwaoZfPcfuBonP6S36YIWFVAOVYLyBbJ-DMGj02vf9sZvNaN6zkQvmeglk8S_3Umnusfmkd6FkIA3C7AKcfQPfS5YISuQjwPb9Ol_H_rG32ipQAl9evlLn_wov6vjb5f6GO4AoaCldQ</recordid><startdate>200312</startdate><enddate>200312</enddate><creator>Bindels, Rianne</creator><creator>Hasman, Arie</creator><creator>Derickx, Mieke</creator><creator>van Wersch, Jan W. J.</creator><creator>Winkens, Ron A. G.</creator><general>Oxford University Press</general><general>OXFORD UNIVERSITY PRESS</general><general>Oxford Publishing Limited (England)</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>200312</creationdate><title>User satisfaction with a real-time automated feedback system for general practitioners: a quantitative and qualitative study</title><author>Bindels, Rianne ; Hasman, Arie ; Derickx, Mieke ; van Wersch, Jan W. J. ; Winkens, Ron A. G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-ff45fb240f8bf284c0be68e438cdf373a53fc64c5fca328872e2d1f958471fd13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Attitude of Health Personnel</topic><topic>Attitude to Computers</topic><topic>clinical decision support systems</topic><topic>Decision Support Systems, Clinical</topic><topic>Diagnostic Services - statistics & numerical data</topic><topic>Family Practice - education</topic><topic>Family Practice - standards</topic><topic>Feedback</topic><topic>Female</topic><topic>Guideline Adherence</topic><topic>Hospitals, University</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Netherlands</topic><topic>Physicians, Family - psychology</topic><topic>Practice Guidelines as Topic</topic><topic>primary health care</topic><topic>Primary Health Care - standards</topic><topic>Surveys and Questionnaires</topic><topic>User-Computer Interface</topic><topic>user-satisfaction</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bindels, Rianne</creatorcontrib><creatorcontrib>Hasman, Arie</creatorcontrib><creatorcontrib>Derickx, Mieke</creatorcontrib><creatorcontrib>van Wersch, Jan W. J.</creatorcontrib><creatorcontrib>Winkens, Ron A. G.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>International journal for quality in health care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bindels, Rianne</au><au>Hasman, Arie</au><au>Derickx, Mieke</au><au>van Wersch, Jan W. J.</au><au>Winkens, Ron A. G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>User satisfaction with a real-time automated feedback system for general practitioners: a quantitative and qualitative study</atitle><jtitle>International journal for quality in health care</jtitle><addtitle>Int J Qual Health Care</addtitle><date>2003-12</date><risdate>2003</risdate><volume>15</volume><issue>6</issue><spage>501</spage><epage>508</epage><pages>501-508</pages><issn>1353-4505</issn><eissn>1464-3677</eissn><abstract>Objective. The GRIF automated feedback system produces real-time comments on the appropriateness of diagnostic tests ordered by general practitioners (GPs) based on recommendations from accepted national and regional practice guidelines. We investigated the experiences of GPs with this system and, more specifically, with the recommendations produced by the system as well as their views on using this system in daily practice. Setting. We tested the GRIF system in an experiment in a laboratory setting and in a daily practice trial. Study participants. General practitioners. Intervention. In the laboratory experiment, GPs used the GRIF system to assess the appropriateness of 30 request forms. Each of the GPs was confronted with requests they had submitted to the diagnostic unit of the hospital in the past. In the field trial, the GRIF system was applied during patient consultations for 1 year. Main outcome measures. We measured GPs’ satisfaction with the system using a questionnaire, and also conducted group discussions (in the laboratory experiment) and in-depth interviews (in the field trial) to elicit GPs’ opinions of and experiences with the system. In addition, we explored GPs’ reasons for not accepting the comments offered by the GRIF system. Results. The results show that the GPs in the laboratory experiment had more positive attitudes towards the system compared with participants in the field trial. All discussion groups and most of the GPs in the field trial regarded receiving the immediate feedback during the test ordering process as an important advantage. The most frequently mentioned reason to reject the recommendation was disagreement with the content and/or the recommendations in the practice guidelines. Conclusion. Apart from securing agreement on guideline content, a prerequisite for using GRIF in daily practice on a large scale is that more attention is paid to promotion of the guidelines and their adoption, and stimulation of a positive attitude towards the practice guidelines among the users.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>14660533</pmid><doi>10.1093/intqhc/mzg076</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Attitude of Health Personnel Attitude to Computers clinical decision support systems Decision Support Systems, Clinical Diagnostic Services - statistics & numerical data Family Practice - education Family Practice - standards Feedback Female Guideline Adherence Hospitals, University Humans Male Middle Aged Netherlands Physicians, Family - psychology Practice Guidelines as Topic primary health care Primary Health Care - standards Surveys and Questionnaires User-Computer Interface user-satisfaction |
title | User satisfaction with a real-time automated feedback system for general practitioners: a quantitative and qualitative study |
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