Provider perceptions of an electronic health record prostate cancer screening tool Journal Article
| Authors: | Carlsson, S. V.; Preston, M.; Vickers, A.; Malhotra, D.; Ehdaie, B.; Healey, M.; Kibel, A. S. |
| Article Title: | Provider perceptions of an electronic health record prostate cancer screening tool |
| Abstract: | Objectives We conducted a focus group to assess the attitudes of primary care physicians (PCPs) toward prostate-specific antigen (PSA)-screening algorithms, perceptions of using decision support tools, and features that would make such tools feasible to implement. Methods A multidisciplinary team (primary care, urology, behavioral sciences, bioinformatics) developed the decision support tool that was presented to a focus group of 10 PCPs who also filled out a survey. Notes and audio-recorded transcripts were analyzed using Thematic Content Analysis. Results The survey showed that PCPs followed different guidelines. In total, 7/10 PCPs agreed that engaging in shared decision-making about PSA screening was burdensome. The majority (9/10) had never used a decision aid for PSA screening. Although 70% of PCPs felt confident about their ability to discuss PSA screening, 90% still felt a need for a provider-facing platform to assist in these discussions. Three major themes emerged: (1) confirmatory reactions regarding the importance, innovation, and unmet need for a decision support tool embedded in the electronic health record; (2) issues around implementation and application of the tool in clinic workflow and PCPs' own clinical bias; and (3) attitudes/reflections regarding discrepant recommendations from various guideline groups that cause confusion. Conclusion There was overwhelmingly positive support for the need for a provider-facing decision support tool to assist with PSA-screening decisions in the primary care setting. PCPs appreciated that the tool would allow flexibility for clinical judgment and documentation of shared decision-making. Incorporation of suggestions from this focus group into a second version of the tool will be used in subsequent pilot testing. © 2023 Georg Thieme Verlag. All rights reserved. |
| Keywords: | clinical practice; prostate specific antigen; mass screening; oncology; prostate cancer; prostate-specific antigen; prostatic neoplasms; screening; prostate tumor; general practitioner; early detection of cancer; decision support; physicians, primary care; shared decision-making; electronic health records; humans; human; male; electronic health record; clinical decision support; practice patterns, physicians'; early cancer diagnosis |
| Journal Title: | Applied Clinical Informatics |
| Volume: | 15 |
| Issue: | 2 |
| ISSN: | 1869-0327 |
| Publisher: | Schattauer Gmbh |
| Date Published: | 2024-03-01 |
| Start Page: | 282 |
| End Page: | 294 |
| Language: | English |
| DOI: | 10.1055/s-0044-1782619 |
| PUBMED: | 38599619 |
| PROVIDER: | scopus |
| PMCID: | PMC11006557 |
| DOI/URL: | |
| Notes: | The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in the PDF. Corresponding MSK author is Sigrid V. Carlsson -- Source: Scopus |
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