Skip to main content

Table 4 External context barriers and enablers

From: Barriers and enablers to implementing and using clinical decision support systems for chronic diseases: a qualitative systematic review and meta-aggregation

 

Finding

Category

Synthesised finding

External context barriers

Time-consuming (n = 6)

Additional time required or timing was not right

Providers experienced external context barriers where CDS was time-consuming and interrupted workflow without investment of additional resources, and where CDS use was limited by external upstream and downstream barriers

Timing not right

Interruption to workflow (n = 2)

Disrupted and did not integrate with usual workflow

Difficult to integrate

Extra work

Financial incentives

Financial and resource limitations

Insufficient remuneration

Resource limitation

Levels of governance

Upstream and downstream barriers to using and following CDS recommendations

Downstream barriers

Challenge in following recommendations

External context enablers

Engaged the principal [GP]

Leadership and allocated person to oversee CDS implementation

Providers experienced external context enablers where key personnel and teams were engaged, where use of the tool was easy and backed by technical support

Screening champion

Allocated person

Team work

Engaging the team and maintaining staff skills

Maintaining staff skills

Easy to implement

Saving time and easy to implement

Saved time

Technical support

Providing technical support