| 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 |