Physician Views on a Computerized Decision Support System for Home Care Information Exchange

Nova, Amanda; Zarrin, Aein; Heckman, George A.

doi:10.1016/j.jamda.2019.10.004

Cited by 5 publications

(7 citation statements)

References 8 publications

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Section: Discussionmentioning

confidence: 99%

“…(19) According to the Behaviour Change Wheel, training (e.g., on shared care, community resources) and system restructuring (e.g., decision support software, collaboration tools, value-based care models) may enhance analytical reasoning and facilitate proactive falls screening and prevention. (12,18,19,21,22) Additionally, participants reported limited time to engage in proactive falls prevention, given the complexity of falls as a problem, and of the potential interventions. It has been shown that primary care providers are, in fact, timeconstrained.…”

Section: Discussionmentioning

confidence: 99%

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A Qualitative Exploration of Proactive Falls Prevention by Canadian Primary Care Providers

et al. 2022

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Background Falls are a growing concern in Canada. Primary care providers are well positioned to address falls risk, but international literature suggests that best-practice guidelines are rarely followed. The objective of this study is to explore the perspectives of Canadian primary care providers around falls prevention and identify solutions. Methods We conducted one-on-one qualitative interviews with a maximum variation sample of nine primary care providers in Ontario (n=8) and Alberta (n=1) in Canada. Data were collected over telephone and in-person at the location of participants choosing. Audio recordings of the interviews were transcribed, then coded and analyzed with the Behaviour Change Wheel theoretical framework. Results Most participants reported relying on patient self-report, intuition, and reactive approaches to identifying falls risk. Reported barriers to falls prevention included low capability to gather information on patient history, context, and community resources; limited opportunity to manage patient complexity due to time constraints; and challenges with motivating patients to engage in care plans. Reported facilitators included team-based interprofessional care and provider motivation. Conclusions This study has found that Canadian primary care providers face barriers to identifying and managing falls risk. These barriers may be rooted in primary care culture, structure, and tradition.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Qualitative Exploration of Proactive Falls Prevention by Canadian Primary Care Providers

et al. 2022

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“…Most primary care providers face heavy workloads (Agarwal, Pabo, Rozenblum, & Sherritt, 2020), and addressing the complex needs of home care patients requires an interplay of clinical judgment and analytical thinking (Dhaliwal & Detsky, 2013). Therefore, we adjusted the report so that only information perceived as relevant and actionable to primary care was provided (Nova et al, 2020a). Of course, this adjustment was subjective and limited to information available within the original interRAI-HC assessment.…”

Section: Discussionmentioning

confidence: 99%

“…Each iteration of analysis began with a combination of deductive and open coding. Specifically, a coding framework based on the behaviour change wheel, usability testing, and preliminary research guided but did not constrain coding (Barnum, 2011; Michie et al, 2014; Nova et al, 2020a, 2020b). AN then grouped useful codes into themes and reviewed and mapped each theme to ensure a relationship to the overarching research topic.…”

Section: Methodsmentioning

confidence: 99%

“…The Patient Falls Risk Report is a one-page report that was originally designed by the researchers of this study with knowledge from preliminary research and the Behaviour Change Wheel theoretical framework (Guthrie et al, 2014; Michie, Atkins, & West, 2014; Nova, Zarrin, & Heckman, 2020a, 2020b). It relays information derived from the interRAI-HC assessment about home care client falls risk, particularly if the client is at moderate or high risk of future falls.…”

Section: The Patient Falls Risk Reportmentioning

confidence: 99%

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Developing the Patient Falls Risk Report: A Mixed-Methods Study on Sharing Falls-Related Clinical Information from Home Care with Primary Care Providers

et al. 2022

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If interRAI home care information were shared with primary care providers, care provision and integration could be enhanced. The objective of this study was to co-develop an interRAI-based clinical information sharing tool (i.e., the Patient Falls Risk Report) with a sample of primary care providers. This mixed-methods study employed semi-structured interviews to inform the development of the Patient Falls Risk Report and online surveys based on the System Usability Scale instrument to test its usability. Most of the interview sample (n = 9) believed that the report could support patient care by sharing relevant and actionable falls-related information. However, criticisms were identified, including insufficient detail, clarity, and support for shared care planning. After incorporating suggestions for improvement, the survey sample (n = 27) determined that the report had excellent usability with an overall usability score of 83.4 (95% CI = 78.7–88.2). By prioritizing the needs of end-users, sustainable interRAI interventions can be developed to support primary care.

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An International Perspective on Improving Physician Care in Nursing Homes

Katz

2020

Journal of the American Medical Directors Association

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Physician Views on a Computerized Decision Support System for Home Care Information Exchange

Cited by 5 publications

References 8 publications

A Qualitative Exploration of Proactive Falls Prevention by Canadian Primary Care Providers

A Qualitative Exploration of Proactive Falls Prevention by Canadian Primary Care Providers

Developing the Patient Falls Risk Report: A Mixed-Methods Study on Sharing Falls-Related Clinical Information from Home Care with Primary Care Providers

An International Perspective on Improving Physician Care in Nursing Homes

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