Adoption of shared decision-making and clinical decision support for reducing cardiovascular disease risk in community health centers.
Electronic health record (EHR)-based shared decision-making (SDM) and clinical decision support (CDS) systems can improve cardiovascular disease (CVD) care quality and risk factor management. Use of the CV Wizard system showed a beneficial effect on high-risk community health center (CHC) patients' CVD risk within an effectiveness trial, but system adoption was low overall. We assessed which multi-level characteristics were associated with system use.
Author(s): Hauschildt, Jennifer, Lyon-Scott, Kristin, Sheppler, Christina R, Larson, Annie E, McMullen, Carmit, Boston, David, O'Connor, Patrick J, Sperl-Hillen, JoAnn M, Gold, Rachel
DOI: 10.1093/jamiaopen/ooad012