TY - JOUR T1 - Patient’s views on a computer decision support for diagnosing asthma: a qualitative study JF - European Respiratory Journal JO - Eur Respir J DO - 10.1183/13993003.congress-2021.PA3632 VL - 58 IS - suppl 65 SP - PA3632 AU - Victoria Murray AU - Eddie Donaghy AU - Hilary Pinnock AU - Luke Daines Y1 - 2021/09/05 UR - http://erj.ersjournals.com/content/58/suppl_65/PA3632.abstract N2 - Background: A clinical decision support system (CDSS) in primary care could address the substantial over/under-diagnosis of asthma in routine clinical practice. Including a patient-facing mode could involve patients in the diagnostic processAims: We explored patient perspectives on the use of a CDSS within consultations to support primary care clinicians to diagnose asthma.Methods: In-depth Interviews explored patient views on how a CDSS could affect the diagnostic process; understand existing approaches and the potential for integrating a CDSS into current approaches. We explored advantages/challenges of using a patient-facing CDSS, including the potential impact on the professional/patient relationship. Interviews were recorded, transcribed verbatim and analysed thematically.Results: We recruited five Scottish and three English socioeconomically varied practices. Preliminary findings suggested that an asthma CDSS with screen-sharing potential could improve patient understanding of the process of confirming/refuting a diagnosis and their perceptions of asthma. Patients suggested that an indication of asthma severity by the CDSS would encourage them to take their condition more seriously if diagnosed. The CDSS was viewed as a useful adjunct to clinician opinion; clinician’s interpretation was key to trusting the outcome of the CDSS. Patients noted the potential of the CDSS to provide trusted information, enabling them come to terms with and manage their condition.Conclusions: An asthma diagnosis CDSS could encourage better communication between clinicians and patients in primary care, inviting patients to become more engaged in their diagnosis.FootnotesCite this article as: European Respiratory Journal 2021; 58: Suppl. 65, PA3632.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). ER -