Psychosocial determinants of physicians’ acceptance of recommendations by antibiotic computerised decision support systems: A mixed methods study

摘要: Antibiotic computerised decision support systems (CDSSs) were developed to facilitate optimal prescribing, but acceptance of their recommendations has remained low. We aimed evaluate physicians' perceptions and attitudes toward antibiotic CDSSs determine psychosocial factors associated with CDSS for empirical therapy. A mixed methods study was conducted in an adult tertiary-care hospital Singapore, its in-house that integrates antimicrobial stewardship electronic prescribing. Focus group discussions among purposively sampled physicians data analysed using the framework approach. Emerging themes included questionnaire newly scales subsequent cross-sectional survey involving all physicians. Principal components analysis performed derive latent factor structure later applied multivariate analyses. Physicians expressed confidence credibility recommendations. Junior accepted most time, whilst senior acknowledged overriding complex patients multiple infections or allergies. Willingness consult common (OR=1.68, 95% CI 1.16-2.44) preference personal team (OR=0.61, 0.43-0.85) Cronbach's α measuring towards ranged from 0.64 0.88. Physicians' willingness determined would choose exercise own clinical team's over patient situations when prescribing needs not met.