Table 2.

Twelve salient PC CDS challenges

Analytic framework for action phase and challenges
Prioritization   Absence of patient voice in prioritizing topics for PC CDS Lack of guidelines for multiple chronic conditions
Authoring   Variations in guideline translation Delays in keeping PC CDS up-to-date Lack of patient-centered terminology standards
Implementation   Limited application of research on patient decision-making Lack of alignment of PC CDS modalities with patients’ daily lives Lack of PC CDS integration into clinical workflows
Measuring   Lack of studies that measure clinical outcomes Limited studies that measure patient and provider engagement
External factors   Lack of patient and provider trust in app safety and efficacy Concerns regarding the privacy and security of patient data