Adoption of Clinical Decision Support systems in the US
Unfortunately adoption of Clinical Decision Support systems in the US has not been unanimous. Still, at a slow rate of adoption, CDS is getting more and more integrated by healthcare companies as they see the benefits in clinical outcomes.
I found a great article regarding the trends of CDS use in the U.S., take a look at https://www.ajmc.com/journals/ajac/2019/2019-vol7-n4/trends-in-the-use-of-clinical-decision-support-by-health-system-affiliated-ambulatory-clinics-in-the-united-states-20142016
“Results: Use rates increased between 2014 and 2016 for all 7 CDS functions, with increases ranging from 4 percentage points (genetic testing) to 13 percentage points (diagnostic result alerts). In 2016, the rate of use was highest for basic medication screening (61%), clinical guidelines and protocols (54%), and preventive medicine (57%). Lower use rates were observed for diagnostic result alerts (42%), remote device alerts (19%), incorporation of community-based electronic health record data into rules engines (26%), and genomics profiling in orders (9%). More than half of health systems, which included many smaller health systems, reported that none of their affiliated clinics used any CDS function. Affiliation with a multihospital health system and clinic size, but not clinic type (eg, primary care), were associated with a greater likelihood of use for most CDS functions.
Conclusions: Despite federal investment to promote health information technology adoption, substantial gaps remain in the use of CDS among ambulatory clinics, particularly among smaller health systems.”
Some references:
Khairat S, Marc D, Crosby W, Al Sanousi A. Reasons For Physicians Not Adopting Clinical Decision Support Systems: Critical Analysis. JMIR Med Inform. 2018;6(2):e24. Published 2018 Apr 18. doi:10.2196/medinform.8912
https://implementationscience.biomedcentral.com/articles/10.1186/s13012-017-0644-2
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