Background: Introducing a clinical decision support system (CDSS) in general practice that provides broad support based on all available guidelines for preventive care might dramatically increase the workload of a general practitioner.
Aim: We evaluated the potential effect on workload of a CDSS that aims to support the whole breadth of preventive guidelines currently used in The Netherlands.
Methods: We analysed the guidelines of the Dutch college of General Practitioners (DCGP) for preventive activities, developed a CDSS based on the guidelines and studied the behaviour of the system on real patient data.
Results: 20 of the 87 DCGP guidelines contained data on preventive activities which was incorporated in the system. Out of 485,793 patients, the system indicated that for 138,885 (28.6%) a preventive action was needed.
Conclusion: A CDSS that aims to support the whole breadth of preventive activities in general practice will have a substantial effect on workload. Further tailoring of the support will be needed.
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