Patient-specific computer-based decision support in primary healthcare

"The aim was to measure the effects of such reminders on patient care. The hypothesis was that the total number of triggered reminders would decrease in the intervention group compared with the control group, indicating an improvement in patient care."

Patient-specific computer-based decision support in primary healthcare: a randomized trial
T Kortteisto, J Raitanen, J Komulainen, I Kunnamo, M Makela, P Rissanen, M Kaila
Implementation Science, 2014, 9:15

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Undetermined impact of patient decision support interventions on healthcare costs and savings: systematic review

"Although there is evidence to show that patients choose more conservative approaches when they become better informed,there is insufficient evidence, as yet, to be confident that the implementation of patient decision support interventions leads to system-wide savings."

Undetermined impact of patient decision support interventions on healthcare costs and savings: systematic review
T Walsh, PJ Barr, R Thompson, E Ozanne, C O'Neill, G Elwyn
British Medical Journal, 2014, 348:g188

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Introduction of new technologies and decision making processes

"Introducing new health technologies, including medical devices, into a local setting in a safe, effective, and transparent manner is a complex process, involving many disciplines and players within an organization."

Introduction of new technologies and decision making processes: a framework to adapt a Local Health Technology Decision Support Program for other local settings
P Poulin, L Austen, CM Scott, M Poulin, N Gall, J Seidel, R Lafreniere
Medical Devices: Evidence and Research, 2013, 6:185-193

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Evaluating disease management programmes: learning from diverse approaches across Europe

"The project reviewed the policy context for, and approaches to, chronic disease management in 13 European countries, using a structured data collection instrument that organised chronic disease management around four components: active patient involvement, service design, decision support and clinical information systems."

Evaluating disease management programmes: learning from diverse approaches across Europe
E Nolte, et al.
RAND Europe
October 2012

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Use of decision technologies in health care

These two audio slideshows are produced by the Nuffield Trust. They explain how decision technologies can be used in the NHS to help patients, clinicians, managers and commissioners make more informed decisions, and explore some of the existing applications of decision technologies in the health service.

• Listen to audio slideshow 1.
• Listen to audio slideshow 2.

Can computerized clinical decision support systems improve practitioners' diagnostic test ordering behavior?

"Some CCDSSs can modify practitioner test-ordering behavior."

Can computerized clinical decision support systems improve practitioners' diagnostic test ordering behavior? A decision-maker-researcher partnership systematic review
PS Roshanov, JJ You, J Dhaliwal, D Koff, JA Mackay, L Weise-Kelly, T Navarro, NL Wilczynski, RB Haynes
Implementation Science, 201, 6:88

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