title: Attitudes and experience of Dutch general practitioners regarding computerized clinical decision support.
abstract: Dutch general practices have a high adoption rate for computerized patient records and clinical decision support. We sought to measure the attitudes and experience of Dutch general practitioners towards clinical decision support.
  
  
  METHODS
  A preliminary survey was created based on questions from published surveys, modified with the results of interviews. The final web-based survey was administered to 43 general practitioners in a practice area where a decision support implementation is planned.
  
  
  RESULTS
  Thirty general practitioners (70%) completed the survey. Most felt that decision support is a good idea (23/30), although fewer reported positive experience with decision support (10/30). Participants were supportive of rules and guidelines, but commonly had the sense that there were too many alerts.
  
  
  CONCLUSIONS
  Dutch clinicians are positive about decision support, but future efforts should try to reduce the perception of overload, for example by ensuring that alerts are relevant and choosing less interruptive forms of notification for less severe alerts.
authors.affiliation: Department of Medical Informatics, Academic Medical Center, Amsterdam, The Netherlands. s.k.medlock@amc.uva.nl
authors.forename: Stephanie
authors.initials: S
authors.lastname: Medlock
authors.forename: Saeid
authors.initials: S
authors.lastname: Eslami
authors.forename: Marjan
authors.initials: M
authors.lastname: Askari
authors.forename: Henk J
authors.initials: HJ
authors.lastname: Brouwer
authors.forename: Henk C
authors.initials: HC
authors.lastname: van Weert
authors.forename: Sophia E
authors.initials: SE
authors.lastname: de Rooij
authors.forename: Ameen
authors.initials: A
authors.lastname: Abu-Hanna
mesh_terms: D000328:Adult; D000368:Aged; D001292:Attitude to Computers; D020000:Decision Support Systems, Clinical / Q000706:statistics & numerical data*; D005260:Female; D058005:General Practitioners / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D011361:Professional Competence / Q000706:statistics & numerical data*