PT  - JOURNAL ARTICLE
AU  - Donaghy, Eddie
AU  - Murray, Victoria
AU  - Pinnock, Hilary
AU  - Daines, Luke
TI  - Clinicians views on developing an asthma CDSS for primary care
AID  - 10.1183/13993003.congress-2021.PA3633
DP  - 2021 Sep 05
TA  - European Respiratory Journal
PG  - PA3633
VI  - 58
IP  - suppl 65
4099  - http://erj.ersjournals.com/content/58/suppl_65/PA3633.short
4100  - http://erj.ersjournals.com/content/58/suppl_65/PA3633.full
SO  - Eur Respir J2021 Sep 05; 58
AB  - Background: A clinical decision support system (CDSS) embedded in general practice systems may be a useful strategy to reduce the current high rates of mis-diagnosis of asthma.Aims: To explore the views of GPs and nurses on the design and content of an asthma CDSS and to investigate how it could routinely be used in UK primary care.Methods: We conducted semi-structured interviews with clinicians with a varied duration of professional experience and from socio-economically deprived/affluent and urban/rural GP practice areas. We gathered clinicians’ views on current challenges in diagnosing asthma, asthma risk factors, and facilitators/barriers to using a CDSS routinely. Interviews were recorded, transcribed verbatim and analysed thematically.Results: We recruited nine GPs and seven nurses. Emergent themes were (i) asthma is often difficult to diagnose, frequently requiring repeated tests and consultations over time causing frustration to patients; (ii) to encourage routine use, the CDSS must be simple to use, easy to access, not time-consuming, and connected to existing NHS software; (iii) automatically identified asthma risk factors within the proposed algorithm were particularly useful; (iv) a patient-facing mode within the CDSS could facilitate screen-sharing, patient engagement in the diagnostic process and support self-management.Conclusions: The idea of a CDSS was welcomed by clinicians, but needed to be integrated and intuitive if it is to be used. Auto-population of information from a patient’s electronic record was particularly valued. Facilitating shared diagnosis-making is novel, but was generally welcomed.FootnotesCite this article as: European Respiratory Journal 2021; 58: Suppl. 65, PA3633.This abstract was presented at the 2021 ERS International Congress, in session “Prediction of exacerbations in patients with COPD”.This is an ERS International Congress abstract. No full-text version is available. Further material to accompany this abstract may be available at www.ers-education.org (ERS member access only).