%0 Journal Article
%@ 1438-8871
%I JMIR Publications
%V 23
%N 6
%P e25741
%T A Web Interface for Antibiotic Prescription Recommendations in Primary Care: User-Centered Design Approach
%A Madar,Ronni
%A Ugon,Adrien
%A Ivanković,Damir
%A Tsopra,Rosy
%+ Inserm, Université de Paris, Sorbonne Université, Centre de Recherche des Cordeliers, Information Sciences to support Personalized Medicine, 15 rue de l'école de médecine, Paris, 75006, France, 33 56092167, rosy.tsopra@nhs.net
%K clinical decision support system
%K visualization
%K usability
%K clinical practice guidelines
%K antibiotic
%K primary care
%D 2021
%7 11.6.2021
%9 Original Paper
%J J Med Internet Res
%G English
%X Background: Antibiotic misuse is a serious public health problem worldwide. National health authorities release clinical practice guidelines (CPGs) to guide general practitioners (GPs) in their choice of antibiotics. However, despite the large-scale dissemination of CPGs, GPs continue to prescribe antibiotics that are not recommended as first-line treatments. This nonadherence to recommendations may be due to GPs misunderstanding the CPGs. A web interface displaying antibiotic prescription recommendations and their justifications could help to improve the comprehensibility and readability of CPGs, thereby increasing the adoption of recommendations regarding antibiotic treatment. Objective: This study aims to design and evaluate a web interface for antibiotic prescription displaying both the recommended antibiotics and their justifications in the form of antibiotic properties. Methods: A web interface was designed according to the same principles as e-commerce interfaces and was assessed by 117 GPs. These GPs were asked to answer 17 questions relating to the usefulness, user-friendliness, and comprehensibility and readability of the interface, and their satisfaction with it. Responses were recorded on a 4-point Likert scale (ranging from “absolutely disagree” to “absolutely agree”). At the end of the evaluation, the GPs were allowed to provide optional, additional free comments. Results: The antibiotic prescription web interface consists of three main sections: a clinical summary section, a filter section, and a recommended antibiotics section. The majority of GPs appreciated the clinical summary (90/117, 76.9%) and filter (98/117, 83.8%) sections, whereas 48.7% (57/117) of them reported difficulty reading some of the icons in the recommended antibiotics section. Overall, 82.9% (97/117) of GPs found the display of drug properties useful, and 65.8% (77/117) reported that the web interface improved their understanding of CPG recommendations. Conclusions: The web interface displaying antibiotic recommendations and their properties can help doctors understand the rationale underlying CPG recommendations regarding antibiotic treatment, but further improvements are required before its implementation into a clinical decision support system. 
%M 34114958
%R 10.2196/25741
%U https://www.jmir.org/2021/6/e25741
%U https://doi.org/10.2196/25741
%U http://www.ncbi.nlm.nih.gov/pubmed/34114958