Oliver Hirsch|H. Keller|Tanja Krones|Norbert Donner?Banzhoff
arriba-lib: evaluation of an electronic library of decision aids in primary care physicians
Philipps University of Marburg|Philipps University of Marburg|Philipps University of Marburg|Philipps University of Marburg
successful implementation decision aids clinical practice initially depends clinicians perceive relatively little known acceptance decision aids physicians factors influencing implementation decision aids point view electronic library decision aids arribalib used within encounter modular structure containing evidencebased decision aids following topics cardiovascular prevention atrial fibrillation coronary heart disease oral antidiabetics conventional intensified insulin therapy unipolar depression aim study evaluate acceptance arribalib primary care physicianswe conducted evaluation study 29 primary care physicians included 192 patients physician questionnaire contained information module used extensive steps shared decision making process discussed made decision subjective appraisal consultation length used generalised estimation equations measure associations within patient variables traditional crosstab analysesonly minority consultations 89 considered unacceptably extended 906 consultations physicians said decision could made shared decision perceived physicians 571 consultations physicians said decision likely made therapeutic options discussed detailed prior experience decision aids critical variable implementation within sample primary care physiciansour study showed might feasible apply electronic library decision aids arribalib primary care context evidencebased decision aids offer support physicians management medical information future studies monitor longterm adoption arribalib primary care physicians