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Evaluating provider adherence in a trial of a guideline-based decision support system for hypertension.

Publication ,  Journal Article
Chan, AS; Coleman, RW; Martins, SB; Advani, A; Musen, MA; Bosworth, HB; Oddone, EZ; Shlipak, MG; Hoffman, BB; Goldstein, MK
Published in: Stud Health Technol Inform
2004

Measurement of provider adherence to a guideline-based decision support system (DSS) presents a number of important challenges. Establishing a causal relationship between the DSS and change in concordance requires consideration of both the primary intention of the guideline and different ways providers attempt to satisfy the guideline. During our work with a guideline-based decision support system for hypertension, ATHENA DSS, we document a number of subtle deviations from the strict hypertension guideline recommendations that ultimately demonstrate provider adherence. We believe that understanding these complexities is crucial to any valid evaluation of provider adherence. We also describe the development of an advisory evaluation engine that automates the interpretation of clinician adherence with the DSS on multiple levels, facilitating the high volume of complex data analysis that is created in a clinical trial of a guideline-based DSS.

Duke Scholars

Published In

Stud Health Technol Inform

ISSN

0926-9630

Publication Date

2004

Volume

107

Issue

Pt 1

Start / End Page

125 / 129

Location

Netherlands

Related Subject Headings

  • User-Computer Interface
  • United States Department of Veterans Affairs
  • United States
  • Practice Guidelines as Topic
  • Medical Records Systems, Computerized
  • Medical Informatics
  • Hypertension
  • Humans
  • Guideline Adherence
  • Drug Therapy, Computer-Assisted
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Chan, A. S., Coleman, R. W., Martins, S. B., Advani, A., Musen, M. A., Bosworth, H. B., … Goldstein, M. K. (2004). Evaluating provider adherence in a trial of a guideline-based decision support system for hypertension. Stud Health Technol Inform, 107(Pt 1), 125–129.
Chan, A. S., R. W. Coleman, S. B. Martins, A. Advani, M. A. Musen, H. B. Bosworth, E. Z. Oddone, M. G. Shlipak, B. B. Hoffman, and M. K. Goldstein. “Evaluating provider adherence in a trial of a guideline-based decision support system for hypertension.Stud Health Technol Inform 107, no. Pt 1 (2004): 125–29.
Chan AS, Coleman RW, Martins SB, Advani A, Musen MA, Bosworth HB, et al. Evaluating provider adherence in a trial of a guideline-based decision support system for hypertension. Stud Health Technol Inform. 2004;107(Pt 1):125–9.
Chan, A. S., et al. “Evaluating provider adherence in a trial of a guideline-based decision support system for hypertension.Stud Health Technol Inform, vol. 107, no. Pt 1, 2004, pp. 125–29.
Chan AS, Coleman RW, Martins SB, Advani A, Musen MA, Bosworth HB, Oddone EZ, Shlipak MG, Hoffman BB, Goldstein MK. Evaluating provider adherence in a trial of a guideline-based decision support system for hypertension. Stud Health Technol Inform. 2004;107(Pt 1):125–129.

Published In

Stud Health Technol Inform

ISSN

0926-9630

Publication Date

2004

Volume

107

Issue

Pt 1

Start / End Page

125 / 129

Location

Netherlands

Related Subject Headings

  • User-Computer Interface
  • United States Department of Veterans Affairs
  • United States
  • Practice Guidelines as Topic
  • Medical Records Systems, Computerized
  • Medical Informatics
  • Hypertension
  • Humans
  • Guideline Adherence
  • Drug Therapy, Computer-Assisted