Behavioral medicine perspectives on the design of health information technology to improve decision-making, guideline adherence, and care coordination in chronic pain management.
Development of clinical decision support systems (CDSs) has tended to focus on facilitating medication management. An understanding of behavioral medicine perspectives on the usefulness of a CDS for patient care can expand CDSs to improve management of chronic disease. The purpose of this study is to explore feedback from behavioral medicine providers regarding the potential for CDSs to improve decision-making, care coordination, and guideline adherence in pain management. Qualitative methods were used to analyze semi-structured interview responses from behavioral medicine stakeholders following demonstration of an existing CDS for opioid prescribing, ATHENA-OT. Participants suggested that a CDS could assist with decision-making by educating providers, providing recommendations about behavioral therapy, facilitating risk assessment, and improving referral decisions. They suggested that a CDS could improve care coordination by facilitating division of workload, improving patient education, and increasing consideration and knowledge of options in other disciplines. Clinical decision support systems are promising tools for improving behavioral medicine care for chronic pain.
Center for Health Care Evaluation, VA Palo Alto HealthCare System, 795 Willow Road (152-MPD), Menlo Park, CA 94025 USA ; Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, 401 Quarry Road, Stanford, CA 94305 USA.
Amanda M
AM
Midboe
Eleanor T
ET
Lewis
Ruth C
RC
Cronkite
Dallas
D
Chambers
Mary K
MK
Goldstein
Robert D
RD
Kerns
Jodie A
JA
Trafton
Behavioral medicine; Chronic pain; Clinical decision support systems; Medication management; Opiates