Adoption of shared decision-making and clinical decision support for reducing cardiovascular disease risk in community health centers.

ABSTRACT:

Objective

Electronic health record (EHR)-based shared decision-making (SDM) and clinical decision support (CDS) systems can improve cardiovascular disease (CVD) care quality and risk factor management. Use of the CV Wizard system showed a beneficial effect on high-risk community health center (CHC) patients' CVD risk within an effectiveness trial, but system adoption was low overall. We assessed which multi-level characteristics were associated with system use.

Materials and methods

Analyses included 80 195 encounters with 17 931 patients with high CVD risk and/or uncontrolled risk factors at 42 clinics in September 2018-March 2020. Data came from the CV Wizard repository and EHR data, and a survey of 44 clinic providers. Adjusted, mixed-effects multivariate Poisson regressi

SUBMITTER: Hauschildt J 

PROVIDER: S-EPMC10005607 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature