Barriers to implementation of a computerized decision support system for depression: an observational report on lessons learned in "real world" clinical settings.

ABSTRACT:

Background

Despite wide promotion, clinical practice guidelines have had limited effect in changing physician behavior. Effective implementation strategies to date have included: multifaceted interventions involving audit and feedback, local consensus processes, marketing; reminder systems, either manual or computerized; and interactive educational meetings. In addition, there is now growing evidence that contextual factors affecting implementation must be addressed such as organizational support (leadership procedures and resources) for the change and strategies to implement and maintain new systems.

Methods

To examine the feasibility and effectiveness of implementation of a computerized decision support system for depression (CDSS-D) in routine public mental health care in

SUBMITTER: Trivedi MH 

PROVIDER: S-EPMC2639574 | biostudies-literature | 2009 Jan

REPOSITORIES: biostudies-literature