Library and Information Science Commons^™

Barriers And Facilitators To Use Of A Clinical Evidence Technology For Management Of Skin Problems In Primary Care: Insights From Mixed Methods, Marianne Burke Phd, Alan Rubin Md, Liliane Savard Dpt, Benjamin Littenberg Md

Larner College of Medicine Faculty Publications

Background: A previous cluster-randomized controlled trial tested the effectiveness of a clinical evidence technology (CET), VisualDx, for skin problems seen by Primary Care Providers (PCPs). Based on patient report, there was no effect on time to problem resolution or return appointments.

Objective: To explain, from the provider perspective, why the CET did not make a difference in the clinical trial and to identify barriers and facilitators to use.

Methods: Mixed methods study design. Providers from both arms completed a survey about their use of VisualDx and information-seeking during and after the trial. Active arm providers participated in interviews to explore …