The use of clinical decision support tools appeared not to influence primary care physicians' use of guideline-directed cardiovascular preventive services for women or Black patients, according to results of a new study.
Authors of the study initially hypothesized that the use of electronic health records , standing orders, and clinical registers could decrease racial and gender disparities for cardiovascular health management.Despite the findings, the researchers expressed optimism that clinical-decision support tools could eventually improve racial and gender disparities.
"Instead, the findings highlight that we still do not know enough about the heterogeneity of CDS," Mukhopadhyay, who was not involved in the study, said. Balasubramanian and her colleagues also surveyed practices on how they followed guidelines for these services. After implementation ― between 2017 and 2021 ― practices that used the tools reported small differences in racial or gender disparity estimates, which sometimes lessened or worsened but were statistically insignificant in comparison with practices that did not use CDS tools.Primary care practices included in the study were part of EvidenceNow, a research project providing funding to clinics from the Agency for Healthcare Research and Quality.
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