title: Studying Readiness for Clinical Decision Support for Worker Health Using the Rapid Assessment Process and Mixed Methods Interviews.
abstract: To determine how the Rapid Assessment Process (RAP) can be adapted to evaluate the readiness of primary care clinics for acceptance and use of computerized clinical decision support (CDS) related to clinical management of working patients, we used a unique blend of ethnographic methods for gathering data. First, knowledge resources, which were prototypes of CDS content areas (diabetes, lower back pain, and asthma) containing evidence-based information, decision logic, scenarios and examples of use, were developed by subject matter experts. A team of RAP researchers then visited five clinic settings to identify barriers and facilitators to implementing CDS about the health of workers in general and the knowledge resources specifically. Methods included observations, semi-structured qualitative interviews and graphic elicitation interviews about the knowledge resources. We used both template and grounded hermeneutic approaches to data analysis. Preliminary results indicate that the methods succeeded in generating specific actionable recommendations for CDS design.
authors.affiliation: Oregon Health & Science University, Portland, OR, USA.
authors.forename: Joan S
authors.initials: JS
authors.lastname: Ash
authors.affiliation: Oregon Health & Science University, Portland, OR, USA.
authors.forename: Dian
authors.initials: D
authors.lastname: Chase
authors.affiliation: Oregon Health & Science University, Portland, OR, USA.
authors.forename: Jane F
authors.initials: JF
authors.lastname: Wiesen
authors.affiliation: Oregon Health & Science University, Portland, OR, USA.
authors.forename: Elizabeth V
authors.initials: EV
authors.lastname: Murphy
authors.affiliation: Oregon Health & Science University, Portland, OR, USA.
authors.forename: Stacey
authors.initials: S
authors.lastname: Marovich
mesh_terms: D000884:Anthropology, Cultural / Q000379:methods*; D001291:Attitude of Health Personnel; D001292:Attitude to Computers; D020000:Decision Support Systems, Clinical / Q000458:organization & administration; D004059:Diffusion of Innovation; D006801:Humans; D007407:Interviews as Topic; D019370:Observation; D011795:Surveys and Questionnaires