scholarly journals A Decision Support Tool for Health Service Re-design

2010 ◽  
Vol 36 (2) ◽  
pp. 621-630 ◽  
Author(s):  
Eren Demir ◽  
Salma Chahed ◽  
Thierry Chaussalet ◽  
Sam Toffa ◽  
Farid Fouladinajed
BMJ Open ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. e035905
Author(s):  
Phillippa Harrison ◽  
Ewan Carr ◽  
Kimberley Goldsmith ◽  
Allan H Young ◽  
Mark Ashworth ◽  
...  

IntroductionThe Antidepressant Advisor Study is a feasibility trial of a computerised decision-support tool which uses an algorithm to provide antidepressant treatment guidance for general practitioners (GPs) in the UK primary care service. The tool is the first in the UK to implement national guidelines on antidepressant treatment guidance into a computerised decision-support tool.Methods and analysisThe study is a parallel group, cluster-randomised controlled feasibility trial where participants are blind to treatment allocation. GPs were assigned to two treatment arms: (1) treatment-as-usual (TAU) and (2) computerised decision-support tool to assist with antidepressant choices. The study will assess recruitment and lost to follow-up rates, GP satisfaction with the tool and impact on health service use. A meaningful long-term roll-out unit cost will be calculated for the tool, and service use data will be collected at baseline and follow-up to inform a full economic evaluation of a future trial.Ethics and disseminationThe study has received National Health Service ethical approval from the London—Camberwell St Giles Research Ethics Committee (ref: 17/LO/2074). The trial was pre-registered in the Clinical Trials.gov registry. The results of the study will be published in a pre-publication archive within 1 year of completion of the last follow-up assessment.Trial registration numberNCT03628027.


Author(s):  
Christos Katrakazas ◽  
Natalia Sobrino ◽  
Ilias Trochidis ◽  
Jose Manuel Vassallo ◽  
Stratos Arampatzis ◽  
...  

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