Reminder-based or on-demand decision support systems: a preliminary study in primary care with the management of hypertension.
ASTI is a guideline-based decision support system for therapeutic prescribing in primary care with two modes of interaction. The "critic mode" operates as a reminder system to detect non guideline-compliant physician drug orders, whereas the "guided mode" operates on demand and provides physician guidance to help her establishing best recommended drug prescriptions for the management of hypertension. A preliminary evaluation study was conducted with 10 GPs to test the complementary nature of both modes of decision support. Results tend to validate our assumption that reminder-based interaction is appropriate for simple cases and that physicians are willing to use on-demand systems as clinical situations become more complex.
Séroussi
B
B
STIM, DPA/DSI/AP-HP & INSERM ERM202, Paris, France. bs@biomath.jussieu.fr
Bouaud
J
J
D020000:Decision Support Systems, Clinical; D011307:Drug Prescriptions / Q000592:standards; D004360:Drug Therapy, Computer-Assisted; D006801:Humans; D006973:Hypertension / Q000188:drug therapy*; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D011320:Primary Health Care / Q000379:methods*