Evaluating the Prototype of a Clinical Decision Support System in Primary Care: Qualitative Study.

Journal: JMIR formative research
Published Date: Aug 20, 2025

Abstract

BACKGROUND: General practitioners are confronted with a wide variety of diseases and sometimes diagnostic uncertainty. Clinical decision support systems could be valuable to improve diagnosis, but existing tools are not adapted to the requirements and workflow in the primary setting. In project SATURN (Smart physician portal for patients with unclear disease), the prototype of a clinical decision support system based on artificial intelligence is being developed together with users specifically for primary care in Germany. It aims to reduce diagnostic uncertainty in cases of unclear and rare diseases and focuses on 3 medical fields. A user-centered design approach is applied for prototype development and evaluation.

Authors

  • Susanne M Köhler
    Institute of General Practice, Goethe University Frankfurt, Theodor-Stern-Kai 7, Frankfurt am Main, 60590, Germany, 49 696301 ext 7267.
  • Svea Holtz
    Goethe University Frankfurt, University Hospital Frankfurt, Institute of General Practice, Frankfurt, Germany.
  • Michaela C Neff
    Institute of Medical Informatics, Goethe University Frankfurt, University Medicine Frankfurt, Frankfurt am Main, Germany.
  • Jannik Schaaf
    Institute of Medical Informatics, University Medicine Frankfurt, Goethe University Frankfurt, Frankfurt 60590, Germany.
  • Michael von Wagner
    Executive Department for Medical IT-Systems and Digitalization, Frankfurt University Hospital, Germany.
  • Beate S Müller
    Institute of General Practice, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
  • Dania Schütze
    Institute of General Practice, Goethe University Frankfurt, Theodor-Stern-Kai 7, Frankfurt am Main, 60590, Germany, 49 696301 ext 7267.

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