Table 3 Barriers and facilitators toward using CDS tools. The question was: please indicate your level of agreement to the following statements.
Questions and Answers | Percentage |
|---|---|
Time factors | |
1. There is enough time to refer to CDS tools at the point of decision-making (i.e. during patient’s appointment, during the rounds, etc.) | |
Disagree or Strongly disagree | 35% |
Neutral | 27% |
Agree or Strongly agree | 38% |
2. I will only use CDS tools that provide me with recommendations after asking a limited number of questions (e.g., less than 5 questions) | |
Disagree or Strongly disagree | 24% |
Neutral | 30% |
Agree or Strongly agree | 46% |
3. I will only use CDS tools that require less than 5 min | |
Disagree or Strongly disagree | 19% |
Neutral | 21% |
Agree or Strongly agree | 60% |
4. I will only use CDS tools that require less than 2 min | |
Disagree or Strongly disagree | 37% |
Neutral | 22% |
Agree or Strongly agree | 41% |
Credibility factors | |
5. I do trust CDS tools’ recommendations if they have been validated and tested | |
Disagree or Strongly disagree | 2% |
Neutral | 3% |
Agree or Strongly agree | 95% |
6. I do trust CDS tools’ recommendations if they have been affiliated with known organizations | |
Disagree or Strongly disagree | 2% |
Neutral | 14% |
Agree or Strongly agree | 84% |
7. I prefer to use CDS tools that are endorsed/supported by the hospital/clinic I work at | |
Disagree or Strongly disagree | 18% |
Neutral | 41% |
Agree or Strongly agree | 41% |
Accessibility-related factors | |
8. I prefer to use CDS tools that are available online | |
Disagree or Strongly disagree | 3% |
Neutral | 21% |
Agree or Strongly agree | 77% |
9. I prefer using CDS tools that provide computerized recommendations | |
Disagree or Strongly disagree | 11% |
Neutral | 32% |
Agree or Strongly agree | 57% |
10. I only use CDS tools if they are integrated into my clinical workflow | |
Disagree or Strongly disagree | 38% |
Neutral | 37% |
Agree or Strongly agree | 25% |
Recommendation-related factors | |
11. I am more likely to accept the CDS tools’ recommendations if they provide me with a number of options to choose from | |
Disagree or Strongly disagree | 3% |
Neutral | 33% |
Agree or Strongly agree | 64% |
12. I am more likely to accept CDS tools’ recommendations if they were accompanied by the supporting evidence | |
Disagree or Strongly disagree | 2% |
Neutral | 14% |
Agree or Strongly agree | 84% |
13. I am more likely to accept CDS tools’ recommendations if they were accompanied by a justification | |
Disagree or Strongly disagree | 3% |
Neutral | 14% |
Agree or Strongly agree | 82% |
14. When I refer to CDS tools, I do have time to read the justification of the CDS tool’s recommendation | |
Disagree or Strongly disagree | 22% |
Neutral | 32% |
Agree or Strongly agree | 47% |
Process-related factors | |
15. I am comfortable to use CDS tools in front of my patients | |
Disagree or Strongly disagree | 11% |
Neutral | 19% |
Agree or Strongly agree | 70% |
16. I am comfortable to use CDS tools in front of my colleagues | |
Disagree or Strongly disagree | 5% |
Neutral | 13% |
Agree or Strongly agree | 82% |
17. I am comfortable to use CDS tools in complex cases | |
Disagree or Strongly disagree | 6% |
Neutral | 21% |
Agree or Strongly agree | 73% |
18. I like to use CDS tools as part of shared decision-making with my patients | |
Disagree or Strongly disagree | 5% |
Neutral | 19% |
Agree or Strongly agree | 76% |