Provider Perceptions of an Electronic Health Record Prostate Cancer Screening Tool
(2023) In Applied Clinical Informatics 15(2). p.282-294- Abstract
Objectives We conducted a focus group to assess the attitudes of primary care physicians (PCPs) toward prostate-specific antigen (PSA)-screening algorithms, perceptions of using decision support tools, and features that would make such tools feasible to implement. Methods A multidisciplinary team (primary care, urology, behavioral sciences, bioinformatics) developed the decision support tool that was presented to a focus group of 10 PCPs who also filled out a survey. Notes and audio-recorded transcripts were analyzed using Thematic Content Analysis. Results The survey showed that PCPs followed different guidelines. In total, 7/10 PCPs agreed that engaging in shared decision-making about PSA screening was burdensome. The majority (9/10)... (More)
Objectives We conducted a focus group to assess the attitudes of primary care physicians (PCPs) toward prostate-specific antigen (PSA)-screening algorithms, perceptions of using decision support tools, and features that would make such tools feasible to implement. Methods A multidisciplinary team (primary care, urology, behavioral sciences, bioinformatics) developed the decision support tool that was presented to a focus group of 10 PCPs who also filled out a survey. Notes and audio-recorded transcripts were analyzed using Thematic Content Analysis. Results The survey showed that PCPs followed different guidelines. In total, 7/10 PCPs agreed that engaging in shared decision-making about PSA screening was burdensome. The majority (9/10) had never used a decision aid for PSA screening. Although 70% of PCPs felt confident about their ability to discuss PSA screening, 90% still felt a need for a provider-facing platform to assist in these discussions. Three major themes emerged: (1) confirmatory reactions regarding the importance, innovation, and unmet need for a decision support tool embedded in the electronic health record; (2) issues around implementation and application of the tool in clinic workflow and PCPs' own clinical bias; and (3) attitudes/reflections regarding discrepant recommendations from various guideline groups that cause confusion. Conclusion There was overwhelmingly positive support for the need for a provider-facing decision support tool to assist with PSA-screening decisions in the primary care setting. PCPs appreciated that the tool would allow flexibility for clinical judgment and documentation of shared decision-making. Incorporation of suggestions from this focus group into a second version of the tool will be used in subsequent pilot testing.
(Less)
- author
- Carlsson, Sigrid V. LU ; Preston, Mark ; Vickers, Andrew ; Malhotra, Deepak ; Ehdaie, Behfar ; Healey, Michael and Kibel, Adam S.
- organization
- publishing date
- 2023-09
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- clinical decision support, decision support, electronic health record, oncology, prostate cancer, screening, shared decision-making
- in
- Applied Clinical Informatics
- volume
- 15
- issue
- 2
- pages
- 13 pages
- publisher
- Georg Thieme Verlag
- external identifiers
-
- pmid:38599619
- scopus:85190562944
- ISSN
- 1869-0327
- DOI
- 10.1055/s-0044-1782619
- language
- English
- LU publication?
- yes
- id
- 27510231-cb22-4e2a-9fdd-0331013b9dd1
- date added to LUP
- 2024-04-29 15:03:33
- date last changed
- 2024-05-13 16:21:21
@article{27510231-cb22-4e2a-9fdd-0331013b9dd1,
abstract = {{<p>Objectives We conducted a focus group to assess the attitudes of primary care physicians (PCPs) toward prostate-specific antigen (PSA)-screening algorithms, perceptions of using decision support tools, and features that would make such tools feasible to implement. Methods A multidisciplinary team (primary care, urology, behavioral sciences, bioinformatics) developed the decision support tool that was presented to a focus group of 10 PCPs who also filled out a survey. Notes and audio-recorded transcripts were analyzed using Thematic Content Analysis. Results The survey showed that PCPs followed different guidelines. In total, 7/10 PCPs agreed that engaging in shared decision-making about PSA screening was burdensome. The majority (9/10) had never used a decision aid for PSA screening. Although 70% of PCPs felt confident about their ability to discuss PSA screening, 90% still felt a need for a provider-facing platform to assist in these discussions. Three major themes emerged: (1) confirmatory reactions regarding the importance, innovation, and unmet need for a decision support tool embedded in the electronic health record; (2) issues around implementation and application of the tool in clinic workflow and PCPs' own clinical bias; and (3) attitudes/reflections regarding discrepant recommendations from various guideline groups that cause confusion. Conclusion There was overwhelmingly positive support for the need for a provider-facing decision support tool to assist with PSA-screening decisions in the primary care setting. PCPs appreciated that the tool would allow flexibility for clinical judgment and documentation of shared decision-making. Incorporation of suggestions from this focus group into a second version of the tool will be used in subsequent pilot testing.</p>}},
author = {{Carlsson, Sigrid V. and Preston, Mark and Vickers, Andrew and Malhotra, Deepak and Ehdaie, Behfar and Healey, Michael and Kibel, Adam S.}},
issn = {{1869-0327}},
keywords = {{clinical decision support; decision support; electronic health record; oncology; prostate cancer; screening; shared decision-making}},
language = {{eng}},
number = {{2}},
pages = {{282--294}},
publisher = {{Georg Thieme Verlag}},
series = {{Applied Clinical Informatics}},
title = {{Provider Perceptions of an Electronic Health Record Prostate Cancer Screening Tool}},
url = {{http://dx.doi.org/10.1055/s-0044-1782619}},
doi = {{10.1055/s-0044-1782619}},
volume = {{15}},
year = {{2023}},
}