Patient views on asthma diagnosis and how a clinical decision support system could help: A qualitative study.

GPs and asthma nurses asthma diagnosis clinical decision support system (cdss) patient perspectives primary care

Journal

Health expectations : an international journal of public participation in health care and health policy
ISSN: 1369-7625
Titre abrégé: Health Expect
Pays: England
ID NLM: 9815926

Informations de publication

Date de publication:
02 2023
Historique:
revised: 22 09 2022
received: 06 07 2022
accepted: 23 10 2022
pubmed: 13 11 2022
medline: 24 1 2023
entrez: 12 11 2022
Statut: ppublish

Résumé

Making a diagnosis of asthma can be challenging for clinicians and patients. A clinical decision support system (CDSS) for use in primary care including a patient-facing mode, could change how information is shared between patients and healthcare professionals and improve the diagnostic process. Participants diagnosed with asthma within the last 5 years were recruited from general practices across four UK regions. In-depth interviews were used to explore patient experiences relating to their asthma diagnosis and to understand how a CDSS could be used to improve the diagnostic process for patients. Interviews were audio recorded, transcribed verbatim and analysed using a thematic approach. Seventeen participants (12 female) undertook interviews, including 14 individuals and 3 parents of children with asthma. Being diagnosed with asthma was generally considered an uncertain process. Participants felt a lack of consultation time and poor communication affected their understanding of asthma and what to expect. Had the nature of asthma and the steps required to make a diagnosis been explained more clearly, patients felt their understanding and engagement in asthma self-management could have been improved. Participants considered that a CDSS could provide resources to support the diagnostic process, prompt dialogue, aid understanding and support shared decision-making. Undergoing an asthma diagnosis was uncertain for patients if their ideas and concerns were not addressed by clinicians and were influenced by a lack of consultation time and limitations in communication. An asthma diagnosis CDSS could provide structure and an interface to prompt dialogue, provide visuals about asthma to aid understanding and encourage patient involvement. Prespecified semistructured interview topic guides (young person and adult versions) were developed by the research team and piloted with members of the Asthma UK Centre for Applied Research Patient and Public Involvement (PPI) group. Findings were regularly discussed within the research group and with PPI colleagues to aid the interpretation of data.

Identifiants

pubmed: 36370457
doi: 10.1111/hex.13657
pmc: PMC9854294
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

307-317

Subventions

Organisme : Chief Scientist Office
ID : CAF/17/01
Pays : United Kingdom

Informations de copyright

© 2022 The Authors. Health Expectations published by John Wiley & Sons Ltd.

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Auteurs

Anne Canny (A)

Asthma UK Centre for Applied Research, Usher Institute, University of Edinburgh, Edinburgh, UK.

Eddie Donaghy (E)

Asthma UK Centre for Applied Research, Usher Institute, University of Edinburgh, Edinburgh, UK.

Victoria Murray (V)

Asthma UK Centre for Applied Research, Usher Institute, University of Edinburgh, Edinburgh, UK.

Leo Campbell (L)

Asthma UK Centre for Applied Research, Usher Institute, University of Edinburgh, Edinburgh, UK.

Carol Stonham (C)

NHS Gloucestershire Clinical Commissioning Group, Gloucester, UK.
Primary Care Respiratory Society (PCRS), Knowle, UK.

Andrew Bush (A)

Imperial Centre for Paediatrics and Child Health and National Heart and Lung Institute, Imperial College, London, UK.
Department of Paediatric Respiratory Medicine, Royal Brompton Hospital, London, UK.

Brian McKinstry (B)

Centre for Population and Health Sciences, Usher Institute, University of Edinburgh, Edinburgh, UK.

Heather Milne (H)

South East GP Unit, NHS Education for Scotland, Edinburgh, UK.

Hilary Pinnock (H)

Asthma UK Centre for Applied Research, Usher Institute, University of Edinburgh, Edinburgh, UK.

Luke Daines (L)

Asthma UK Centre for Applied Research, Usher Institute, University of Edinburgh, Edinburgh, UK.

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