Design of a Decision Support System for Test Ordering in General Practice: Choices and Decisions to Make

M. van Wijk; M. Mosseveld; J. van der Lei

doi:10.1055/s-0038-1634405

Methods of Information in Medicine, Table of Contents

Methods Inf Med 1999; 38(04/05): 355-361
DOI: 10.1055/s-0038-1634405

Original Article

Schattauer GmbH

Design of a Decision Support System for Test Ordering in General Practice: Choices and Decisions to Make

M. van Wijk

¹Institute of Medical Informatics, Erasmus University Rotterdam, The Netherlands

,

M. Mosseveld

¹Institute of Medical Informatics, Erasmus University Rotterdam, The Netherlands

,

J. van der Lei

¹Institute of Medical Informatics, Erasmus University Rotterdam, The Netherlands

› Author Affiliations

Abstract

The increased availability of tests in the past years has been accompanied by an increased number of blood tests ordered by general practitioners. Dutch investigators report a lack of general practitioners’ knowledge concerning the indications for blood tests leading to inappropriate and inadequate use of diagnostic tests. Taking advantage of the use of electronic patient records by Dutch general practitioners, the authors replaced the traditional paper forms for test ordering by a decision-support system. The objective of the decision-support system is to change test-ordering behavior. Designing a system to change test-ordering behavior, however, required the selection of a method to provide support. To study different methods for changing test-ordering behavior, the authors developed two versions of the decision-support system BloodLink. The first version, Blood-Link-Restricted, is based on the notion of restricting the number of choices presented to the general practitioners. The second version, BloodLink-Guideline, is based on the guidelines provided by the Dutch college of general practitioners.

Keywords

Decision Support - Guidelines - Test-ordering Behavior - General Practice

Full Text

References

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