Cabral, C;
Curtis, K;
Curcin, V;
Dominguez, J;
Prasad, V;
Schilder, A;
Turner, N;
... Horwood, J; + view all
(2021)
Challenges to implementing electronic trial data collection in primary care: a qualitative study.
BMC Family Practice
, 22
(1)
, Article 147. 10.1186/s12875-021-01498-6.
Preview |
Text
Challenges to implementing electronic trial data collection in primary care a qualitative study.pdf - Published Version Download (902kB) | Preview |
Abstract
Background: Within-consultation recruitment to primary care trials is challenging. Ensuring procedures are efcient and self-explanatory is the key to optimising recruitment. Trial recruitment software that integrates with the electronic health record to support and partially automate procedures is becoming more common. If it works well, such software can support greater participation and more efcient trial designs. An innovative electronic trial recruitment and outcomes software was designed to support recruitment to the Runny Ear randomised controlled trial, comparing topical, oral and delayed antibiotic treatment for acute otitis media with discharge in children. A qualitative evaluation investigated the views and experiences of primary care staf using this trial software. Methods: Staf were purposively sampled in relation to site, role and whether the practice successfully recruited patients. In-depth interviews were conducted using a fexible topic guide, audio recorded and transcribed. Data were analysed thematically. Results: Sixteen staf were interviewed, including GPs, practice managers, information technology (IT) leads and research staf. GPs wanted trial software that automatically captures patient data. However, the experience of getting the software to work within the limited and complex IT infrastructure of primary care was frustrating and time consuming. Installation was reliant on practice level IT expertise, which varied between practices. Although most had external IT support, this rarely included supported for research IT. Arrangements for approving new software varied across practices and often, but not always, required authorisation from Clinical Commissioning Groups. Conclusions: Primary care IT systems are not solely under the control of individual practices or CCGs or the National Health Service. Rather they are part of a complex system that spans all three and is infuenced by semi-autonomous stakeholders operating at diferent levels. This led to time consuming and sometimes insurmountable barriers to installation at the practice level. These need to be addressed if software supporting efcient research in primary care is to become a reality.
| Type: | Article |
|---|---|
| Title: | Challenges to implementing electronic trial data collection in primary care: a qualitative study |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1186/s12875-021-01498-6 |
| Publisher version: | https://doi.org/10.1186/s12875-021-01498-6 |
| Language: | English |
| Additional information: | Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
| Keywords: | Primary health care, Electronic health records, Information technology, ACUTE OTITIS-MEDIA, SAMPLE-SIZE, EAR, DISCHARGE, CHILDREN |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > The Ear Institute |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10139261 |
Archive Staff Only
 |
View Item |
