Background: Introducing a clinical decision support system (CDSS) in general practice that provides broad support based on all available guidelines for preventive care might dramatically increase the workload of a general practitioner. Aim: We evaluated the potential effect on workload of a CDSS that aims to support the whole breadth of preventive guidelines currently used in The Netherlands. Methods: We analysed the guidelines of the Dutch college of General Practitioners (DCGP) for preventive activities, developed a CDSS based on the guidelines and studied the behaviour of the system on real patient data. Results: 20 of the 87 DCGP guidelines contained data on preventive activities which was incorporated in the system. Out of 485 793 patients, the system indicated that for 138 885 (28.6%) a preventive action was needed. Conclusion: A CDSS that aims to support the whole breadth of preventive activities in general practice will have a substantial effect on workload. Further tailoring of the support will be needed.

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doi.org/10.3233/978-1-60750-588-4-462, hdl.handle.net/1765/56186
13th World Congress on Medical and Health Informatics, Medinfo 2010
Department of Medical Informatics

van Wyk, J., Mosseveld, M., & van der Lei, J. (2010). Is population-oriented IT supported preventive care in general practice feasible? A database study. Presented at the 13th World Congress on Medical and Health Informatics, Medinfo 2010. doi:10.3233/978-1-60750-588-4-462