Key result
Integrated clinical decision support is linked to ~21-fold higher odds of documented CVRA for Indigenous adults.
Why the study?
Few studies have reported the use of absolute cardiovascular risk assessment within the Australian Indigenous primary health care sector despite its importance for early intervention.
Do integrated clinical decision support systems improve the documentation of absolute cardiovascular risk assessment in Indigenous Australian adults without prior chronic disease?
Population
2,052 Indigenous Australian adults aged ≥20 years with no recorded chronic disease diagnosis from 97 PHC centres
Comparison
PHC centres with integrated clinical decision support systems vs centres without
Design
Cross-sectional analysis
Authors
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Supports CDSS integration to boost documentation in Indigenous primary care; leaves open effects on actual risk reduction.
Cross-Sectional (n=2,052)
Yes
Do integrated clinical decision support systems improve the documentation of absolute cardiovascular risk assessment in Indigenous Australian adults without prior chronic disease?
Odds Ratio: 21.1 (95% CI 5.4–82.4)
p-value: p=<0.001
Integrated clinical decision support systems are strongly associated with increased documentation of absolute cardiovascular risk assessment in Indigenous Australian primary care, highlighting a key strategy for improving primary prevention.
Matthews et al. (2017) conducted a cross-sectional in No prior chronic disease diagnosis (primary prevention) (n=2,052). Integrated clinical decision support systems (automated CVRA calculators) vs. Centers without integrated clinical decision support systems was evaluated on Proportion of eligible adults who had cardiovascular risk assessment (CVRA) recorded (OR 21.1, 95% CI 5.4-82.4, p=<0.001). Primary health care centers with integrated clinical decision support systems were significantly more likely to document cardiovascular risk assessments for eligible Indigenous adults (OR 21.1).
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