{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T01:02:54Z","timestamp":1790643774235,"version":"4.1.0"},"reference-count":32,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"vor","delay-in-days":85,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Med Inform Decis Mak"],"DOI":"10.1186\/s12911-026-03670-3","type":"journal-article","created":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T15:57:32Z","timestamp":1783353452000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Physicians\u2019 preferences for the use of clinical decision support systems in the context of acutely ill children presenting to ambulatory care: a focus group study"],"prefix":"10.1186","volume":"26","author":[{"given":"Hannelore","family":"Dillen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annelien","family":"Dankaerts","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dani\u00eblle","family":"Snijders","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lennart","family":"Verlinden","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laure","family":"Wynants","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan Y.","family":"Verbakel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,6]]},"reference":[{"issue":"623","key":"3670_CR1","doi-asserted-by":"publisher","first-page":"311","DOI":"10.3399\/bjgp14X680317","volume":"64","author":"A Van den Bruel","year":"2014","unstructured":"Van den Bruel A, Thompson M. Research into practice: acutely ill children. Br J Gen Pract. 2014;64(623):311\u201313. https:\/\/doi.org\/10.3399\/bjgp14X680317.","journal-title":"Br J Gen Pract"},{"issue":"1","key":"3670_CR2","doi-asserted-by":"publisher","first-page":"11","DOI":"10.3109\/02813432.2015.1001942","volume":"33","author":"PJ Lucas","year":"2015","unstructured":"Lucas PJ, Cabral C, Hay AD, Horwood J. A systematic review of parent and clinician views and perceptions that influence prescribing decisions in relation to acute childhood infections in primary care. Scand J Prim Health Care. 2015;33(1):11\u201320. https:\/\/doi.org\/10.3109\/02813432.2015.1001942.","journal-title":"Scand J Prim Health Care"},{"issue":"6","key":"3670_CR3","doi-asserted-by":"publisher","first-page":"735","DOI":"10.1086\/591126","volume":"47","author":"N Shehab","year":"2008","unstructured":"Shehab N, Patel PR, Srinivasan A, Budnitz D. Emergency department visits for antibiotic-associated adverse events. Clin Infect Dis. 2008;47(6):735\u201343. https:\/\/doi.org\/10.1086\/591126.","journal-title":"Clin Infect Dis"},{"issue":"6","key":"3670_CR4","doi-asserted-by":"publisher","first-page":"744","DOI":"10.1086\/591149","volume":"47","author":"JA Linder","year":"2008","unstructured":"Linder JA. Editorial commentary: antibiotics for treatment of acute respiratory tract infections: decreasing benefit, increasing risk, and the irrelevance of antimicrobial resistance. Clin Infect Dis. 2008;47(6):744\u201346. https:\/\/doi.org\/10.1086\/591149.","journal-title":"Clin Infect Dis"},{"issue":"10459","key":"3670_CR5","doi-asserted-by":"publisher","first-page":"1199","DOI":"10.1016\/S0140-6736(24)01867-1","volume":"404","author":"M Naghavi","year":"2024","unstructured":"Naghavi M, Vollset SE, Ikuta KS, Swetschinski LR, Gray AP, Wool EE, et al. Global burden of bacterial antimicrobial resistance 1990\u20132021: a systematic analysis with forecasts to 2050. Lancet. 2024;404(10459):1199\u2013226. https:\/\/doi.org\/10.1016\/S0140-6736(24)01867-1.","journal-title":"Lancet"},{"key":"3670_CR6","doi-asserted-by":"publisher","unstructured":"Sutton RT, Pincock D, Baumgart DC, Sadowski DC, Fedorak RN, Kroeker KI. An overview of clinical decision support systems: benefits, risks, and strategies for success. NPJ Digit Med. 2020;3(1). https:\/\/doi.org\/10.1038\/s41746-020-0221-y.","DOI":"10.1038\/s41746-020-0221-y"},{"issue":"1","key":"3670_CR7","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1136\/amiajnl-2014-002886","volume":"22","author":"J Holstiege","year":"2015","unstructured":"Holstiege J, Mathes T, Pieper D. Effects of computer-aided clinical decision support systems in improving antibiotic prescribing by primary care providers: a systematic review. J Am Med Inf Assoc. 2015;22(1):236\u201342. https:\/\/doi.org\/10.1136\/amiajnl-2014-002886.","journal-title":"J Am Med Inf Assoc"},{"issue":"4","key":"3670_CR8","doi-asserted-by":"publisher","first-page":"231","DOI":"10.14236\/jhi.v17i4.742","volume":"17","author":"JA Linder","year":"2009","unstructured":"Linder JA, Schnipper JL, Tsurikova R, Yu T, Volk L, Melnikas A, et al. Documentation-based clinical decision support to improve antibiotic prescribing for acute respiratory infections in primary care: a cluster randomised controlled trial. J Innov Health Inf. 2009;17(4):231\u201340. https:\/\/doi.org\/10.14236\/jhi.v17i4.742.","journal-title":"J Innov Health Inf"},{"issue":"S2","key":"3670_CR9","doi-asserted-by":"publisher","first-page":"788","DOI":"10.1007\/s11606-020-06096-3","volume":"35","author":"D Mann","year":"2020","unstructured":"Mann D, Hess R, McGinn T, Richardson S, Jones S, Palmisano J, et al. Impact of clinical decision support on antibiotic prescribing for acute respiratory infections: a cluster randomized implementation trial. J GEN Intern Med. 2020;35(S2):788\u201395. https:\/\/doi.org\/10.1007\/s11606-020-06096-3.","journal-title":"J GEN Intern Med"},{"issue":"10","key":"3670_CR10","doi-asserted-by":"publisher","first-page":"976","DOI":"10.1177\/0009922810373649","volume":"49","author":"FC Bourgeois","year":"2010","unstructured":"Bourgeois FC, Linder J, Johnson SA, Co JPT, Fiskio J, Ferris TG. Impact of a computerized template on antibiotic prescribing for acute respiratory infections in children and adolescents. Clin Pediatr (Phila). 2010;49(10):976\u201383. https:\/\/doi.org\/10.1177\/0009922810373649.","journal-title":"Clin Pediatr (Phila)"},{"issue":"8","key":"3670_CR11","doi-asserted-by":"publisher","first-page":"2353","DOI":"10.1093\/jac\/dkaa167","volume":"75","author":"T Delory","year":"2020","unstructured":"Delory T, Jeanmougin P, Lariven S, Aubert J-P, Peiffer-Smadja N, Bo\u00eblle P-Y, et al. A computerized decision support system (CDSS) for antibiotic prescription in primary care\u2014Antibioclic: implementation, adoption and sustainable use in the era of extended antimicrobial resistance. The J Antimicrob Chemother. 2020;75(8):2353\u201362. https:\/\/doi.org\/10.1093\/jac\/dkaa167.","journal-title":"The J Antimicrob Chemother"},{"key":"3670_CR12","doi-asserted-by":"publisher","unstructured":"Lugtenberg M, Weenink JW, van der Weijden T, Westert GP, Kool RB. Implementation of multiple-domain covering computerized decision support systems in primary care: a focus group study on perceived barriers. BMC Med Inf Decis Mak. 2015;15(1). https:\/\/doi.org\/10.1186\/s12911-015-0205-z.","DOI":"10.1186\/s12911-015-0205-z"},{"issue":"104506","key":"3670_CR13","doi-asserted-by":"publisher","first-page":"104506","DOI":"10.1016\/j.ijmedinf.2021.104506","volume":"152","author":"L Westerbeek","year":"2021","unstructured":"Westerbeek L, Ploegmakers KJ, de Bruijn GJ, Linn AJ, van Weert JCM, Daams JG, et al. Barriers and facilitators influencing medication-related CDSS acceptance according to clinicians: a systematic review. Int J Med Inf. 2021;152(104506):104506. https:\/\/doi.org\/10.1016\/j.ijmedinf.2021.104506.","journal-title":"Int J Med Inf"},{"key":"3670_CR14","doi-asserted-by":"publisher","unstructured":"Trinkley KE, Blakeslee WW, Matlock DD, Kao DP, Van Matre AG, Harrison R, et al. Clinician preferences for computerised clinical decision support for medications in primary care: a focus group study. BMJ Health Care Inf. 2019;26(1):e000015. https:\/\/doi.org\/10.1136\/bmjhci-2019-000015.","DOI":"10.1136\/bmjhci-2019-000015"},{"issue":"5","key":"3670_CR15","doi-asserted-by":"publisher","first-page":"585","DOI":"10.1093\/jamia\/ocx118","volume":"25","author":"K Miller","year":"2018","unstructured":"Miller K, Mosby D, Capan M, Kowalski R, Ratwani R, Noaiseh Y, et al. Interface, information, interaction: a narrative review of design and functional requirements for clinical decision support. J Am Med Inf Assoc. 2018;25(5):585\u201392. https:\/\/doi.org\/10.1093\/jamia\/ocx118.","journal-title":"J Am Med Inf Assoc"},{"key":"3670_CR16","doi-asserted-by":"publisher","unstructured":"Borek AJ, Santillo M, Wanat M, Butler CC, Tonkin-Crine S. How can behavioural science contribute to qualitative research on antimicrobial stewardship in primary care? JAC Antimicrob Resist. 2022;4(1):dlac007. https:\/\/doi.org\/10.1093\/jacamr\/dlac007.","DOI":"10.1093\/jacamr\/dlac007"},{"key":"3670_CR17","volume-title":"Focus groups a practical guide for applied research","author":"RA Krueger","year":"2015","unstructured":"Krueger RA, Casey MA. Focus groups a practical guide for applied research. 5. SAGE Publications; 2015.","edition":"5"},{"issue":"6","key":"3670_CR18","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","volume":"19","author":"A Tong","year":"2007","unstructured":"Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349\u201357. https:\/\/doi.org\/10.1093\/intqhc\/mzm042.","journal-title":"Int J Qual Health Care"},{"key":"3670_CR19","unstructured":"Powtoon [online]. Available from: 22 November 2023. https:\/\/www.powtoon.com\/"},{"key":"3670_CR20","doi-asserted-by":"publisher","unstructured":"Arts DL, Medlock SK, van Weert HCPM, Wyatt JC, Abu-Hanna A. Acceptance and barriers pertaining to a general practice decision support system for multiple clinical conditions: a mixed methods evaluation. PLoS ONE. 2018;13(4):e0193187. https:\/\/doi.org\/10.1371\/journal.pone.0193187.","DOI":"10.1371\/journal.pone.0193187"},{"issue":"2","key":"3670_CR21","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1080\/2159676X.2019.1704846","volume":"13","author":"V Braun","year":"2021","unstructured":"Braun V, Clarke V. To saturate or not to saturate? Questioning data saturation as a useful concept for thematic analysis and sample-size rationales. Qual Res Sport Exercise Health. 2021;13(2):201\u201316. https:\/\/doi.org\/10.1080\/2159676X.2019.1704846.","journal-title":"Qual Res Sport Exercise Health"},{"issue":"4","key":"3670_CR22","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1080\/2159676X.2019.1628806","volume":"11","author":"V Braun","year":"2019","unstructured":"Braun V, Clarke V. Reflecting on reflexive thematic analysis. Qual Res Sport Exercise Health. 2019;11(4):589\u201397. https:\/\/doi.org\/10.1080\/2159676X.2019.1628806.","journal-title":"Qual Res Sport Exercise Health"},{"issue":"2","key":"3670_CR23","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1191\/1478088706qp063oa","volume":"3","author":"V Braun","year":"2006","unstructured":"Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Res Phychol. 2006;3(2):77\u2013101. https:\/\/doi.org\/10.1191\/1478088706qp063oa.","journal-title":"Qualitative Res Phychol"},{"key":"3670_CR24","unstructured":"BCFI. BAPCOC - Belgische Gids voor Anti-Infectieuze Behandeling in de Ambulante Praktijk [online]. 2022. Available from: https:\/\/www.bcfi.be\/nl\/chapters\/12?frag=8000010. 2 January 2025."},{"key":"3670_CR25","unstructured":"Infecties [online]. Available from: https:\/\/www.bcfi.be\/nl\/chapters\/12?frag=9423. 27 February 2024."},{"key":"3670_CR26","unstructured":"NHG-Richtlijnen [online]. Available from: 27 February 2024. https:\/\/richtlijnen.nhg.org\/"},{"key":"3670_CR27","doi-asserted-by":"publisher","unstructured":"Moore GF, Audrey S, Barker M, Bond L, Bonell C, Hardeman W, et al. Process evaluation of complex interventions: medical research council guidance. BMJ. 2015;350:h1258. https:\/\/doi.org\/10.1136\/bmj.h1258.","DOI":"10.1136\/bmj.h1258"},{"key":"3670_CR28","unstructured":"European Centre for Disease Prevention and Control. Proposals for EU guidelines on the prudent use of antimicrobials in humans. Stockholm; 2017."},{"issue":"6","key":"3670_CR29","doi-asserted-by":"publisher","first-page":"1","DOI":"10.15585\/mmwr.rr6506a1","volume":"65","author":"GV Sanchez","year":"2016","unstructured":"Sanchez GV, Fleming-Dutra KE, Roberts RM, Hicks LA. Core elements of outpatient antibiotic stewardship. 2016. MMWR. Recommendations Rep. 2016;65(6):1\u201312. https:\/\/doi.org\/10.15585\/mmwr.rr6506a1.","journal-title":"MMWR. Recommendations Rep"},{"key":"3670_CR30","unstructured":"NHS. The NHS long term plan. 2019."},{"issue":"10","key":"3670_CR31","doi-asserted-by":"publisher","first-page":"854","DOI":"10.1136\/jech.2004.028662","volume":"60","author":"F Baum","year":"2006","unstructured":"Baum F, MacDougall C, Smith D. Participatory action research. J Epidemiol Community Health. 2006;60(10):854\u201357. https:\/\/doi.org\/10.1136\/jech.2004.028662.","journal-title":"J Epidemiol Community Health"},{"issue":"7","key":"3670_CR32","doi-asserted-by":"publisher","first-page":"577","DOI":"10.1080\/10447318.2018.1455307","volume":"34","author":"JR Lewis","year":"2018","unstructured":"Lewis JR. The system usability scale: past, present, and future. Int J Hum\u2013Comput Interact. 2018;34(7):577\u201390. https:\/\/doi.org\/10.1080\/10447318.2018.1455307.","journal-title":"Int J Hum\u2013Comput Interact"}],"container-title":["BMC Medical Informatics and Decision Making"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12911-026-03670-3","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12911-026-03670-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12911-026-03670-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:26:50Z","timestamp":1790641610000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s12911-026-03670-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,6]]},"references-count":32,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["3670"],"URL":"https:\/\/doi.org\/10.1186\/s12911-026-03670-3","relation":{},"ISSN":["1472-6947"],"issn-type":[{"value":"1472-6947","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,6]]},"assertion":[{"value":"26 April 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 June 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 July 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The study was approved by the Ethical Review Board UZ KU Leuven (Onderwijs-Begeleidingscommissie) on 16 January 2023 (MP022375). All focus group participantsprovided written informed consent.","order":1,"name":"Ethics","label":"Ethics approval and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"JV is a research-active general practitioner. DS and LV are also clinically qualified. HD, AD and LW are not clinically qualified. Other authors\u2019 information is shown in the \u201cReflexivity statement\u201d.","order":3,"name":"Ethics","label":"Authors information","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"374"}}