Skip to main content
NCBI home page
Proceedings of the Annual Symposium on Computer Application in Medical Care logoLink to Proceedings of the Annual Symposium on Computer Application in Medical Care
. 1988 Nov 9:225–228.

Practitioner Preferences and Receptivity for Patient-Specific Advice from a Therapeutic Monitoring System*

Ruth de Bliek, Charles P Friedman, Terrence F Blaschke, Cynthia L France, Stuart M Speedie
PMCID: PMC2245293

Abstract

To examine the optimal design of advisories generated from an inpatient therapeutic monitoring system, we solicited practitioner ratings of four formats for three sample patient-specific advisories as well as their overall receptivity to such a monitoring system. Forty-one physicians and pharmacists including community practitioners (n=10), academic medical center internists (n=11), Veterans Administration general medicine attendings and senior medicine residents (n=9), and clinical pharmacists on the faculty of an academic medical center (n=11), participated in the study. Overall, two relatively “terse” advisories, communicating in phrases and sentence fragments, were rated more favorably than more elaborated advisories communicating the information in narrative form. The participants expressed a high receptivity to the use of a therapeutic monitoring system (4.93 on a six-point scale, with “6” representing the highest level of receptivity). The results will be used to direct the design of the advisories for one therapeutic monitoring system.

Full text

PDF
225

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Covell D. G., Uman G. C., Manning P. R. Information needs in office practice: are they being met? Ann Intern Med. 1985 Oct;103(4):596–599. doi: 10.7326/0003-4819-103-4-596. [DOI] [PubMed] [Google Scholar]
  2. McDonald C. J. Protocol-based computer reminders, the quality of care and the non-perfectability of man. N Engl J Med. 1976 Dec 9;295(24):1351–1355. doi: 10.1056/NEJM197612092952405. [DOI] [PubMed] [Google Scholar]
  3. McDonald C. J., Wilson G. A., McCabe G. P., Jr Physician response to computer reminders. JAMA. 1980 Oct 3;244(14):1579–1581. [PubMed] [Google Scholar]
  4. McDonald C., Blevins L., Glazener T., Haas J., Lemmon L., Meeks-Johnson J. Data base management, feedback control, and the Regenstrief Medical Record. J Med Syst. 1983 Apr;7(2):111–125. doi: 10.1007/BF00995118. [DOI] [PubMed] [Google Scholar]
  5. Pryor T. A., Gardner R. M., Clayton P. D., Warner H. R. The HELP system. J Med Syst. 1983 Apr;7(2):87–102. doi: 10.1007/BF00995116. [DOI] [PubMed] [Google Scholar]
  6. Rawlins M. D. Clinical pharmacology. Adverse reactions to drugs. Br Med J (Clin Res Ed) 1981 Mar 21;282(6268):974–976. doi: 10.1136/bmj.282.6268.974. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Smidt N. A., McQueen E. G. Adverse reactions to drugs: a comprehensive hospital inpatient survey. N Z Med J. 1972 Dec;76(487):397–401. [PubMed] [Google Scholar]
  8. Steel K., Gertman P. M., Crescenzi C., Anderson J. Iatrogenic illness on a general medical service at a university hospital. N Engl J Med. 1981 Mar 12;304(11):638–642. doi: 10.1056/NEJM198103123041104. [DOI] [PubMed] [Google Scholar]
  9. Teach R. L., Shortliffe E. H. An analysis of physician attitudes regarding computer-based clinical consultation systems. Comput Biomed Res. 1981 Dec;14(6):542–558. doi: 10.1016/0010-4809(81)90012-4. [DOI] [PubMed] [Google Scholar]

Articles from Proceedings of the Annual Symposium on Computer Application in Medical Care are provided here courtesy of American Medical Informatics Association

RESOURCES