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How information systems should support the information needs of general dentists in clinical settings: Suggestions from a qualitative study

Song, M and Spallek, H and Polk, D and Schleyer, T and Wali, T (2010) How information systems should support the information needs of general dentists in clinical settings: Suggestions from a qualitative study. BMC Medical Informatics and Decision Making, 10 (1).

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Abstract

Background. A major challenge in designing useful clinical information systems in dentistry is to incorporate clinical evidence based on dentists' information needs and then integrate the system seamlessly into the complex clinical workflow. However, little is known about the actual information needs of dentists during treatment sessions. The purpose of this study is to identify general dentists' information needs and the information sources they use to meet those needs in clinical settings so as to inform the design of dental information systems. Methods. A semi-structured interview was conducted with a convenience sample of 18 general dentists in the Pittsburgh area during clinical hours. One hundred and five patient cases were reported by these dentists. Interview transcripts were coded and analyzed using thematic analysis with a constant comparative method to identify categories and themes regarding information needs and information source use patterns. Results. Two top-level categories of information needs were identified: foreground and background information needs. To meet these needs, dentists used four types of information sources: clinical information/tasks, administrative tasks, patient education and professional development. Major themes of dentists' unmet information needs include: (1) timely access to information on various subjects; (2) better visual representations of dental problems; (3) access to patient-specific evidence-based information; and (4) accurate, complete and consistent documentation of patient records. Resource use patterns include: (1) dentists' information needs matched information source use; (2) little use of electronic sources took place during treatment; (3) source use depended on the nature and complexity of the dental problems; and (4) dentists routinely practiced cross-referencing to verify patient information. Conclusions. Dentists have various information needs at the point of care. Among them, the needs for better visual representation and patient-specific evidence-based information are mostly unmet. While patient records and support staff remain the most used information sources, electronic sources other than electronic dental records (EDR) are rarely utilized during patient visits. For future development of dental information or clinical decision-support systems, developers should consider integrating high-quality, up-to-date clinical evidence into comprehensive and easily accessible EDRs as well as supporting dentists' resource use patterns as identified in the study. © 2010 Song et al; licensee BioMed Central Ltd.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Song, M
Spallek, Hhspallek@pitt.eduHSPALLEK
Polk, Ddpolk@pitt.eduDPOLK
Schleyer, Ttitus@pitt.eduTITUS0000-0003-1829-971X
Wali, T
Date: 30 March 2010
Date Type: Publication
Journal or Publication Title: BMC Medical Informatics and Decision Making
Volume: 10
Number: 1
DOI or Unique Handle: 10.1186/1472-6947-10-7
Schools and Programs: School of Dental Medicine > Dental Science
Refereed: Yes
MeSH Headings: Dentists; Evidence-Based Dentistry; Humans; Information Systems; Needs Assessment; Qualitative Research
Other ID: NLM PMC2843644
PubMed Central ID: PMC2843644
PubMed ID: 20122272
Date Deposited: 12 Sep 2012 14:36
Last Modified: 05 Feb 2019 07:55
URI: http://d-scholarship.pitt.edu/id/eprint/14091

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