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Table 1 Advantages, barriers and potential enablers of CPMs as endorsed by survey respondents; in weighted rank (r) order. Additionally, ‘% 1’ denotes the percentage of time an element was endorsed as the top-ranking

From: Understanding clinical prediction models as ‘innovations’: a mixed methods study in UK family practice

Advantages r % 1
Guides appropriate treatment 299 53
Justifies treatment decisions made 217 20
Incorporates large body of evidence 156 19
Motivates patient to make lifestyle changes 70 4
Promotes equity of treatment 62 4
Scores QOF points 21 1
Other 4 1
Barriers   
Do not have time to use during a consultation 163 24
Not relevant for use in all patients 161 19
Not integrated with electronic patient records 147 21
Do not know which risk score to use 103 12
Do not include all risk factors 92 9
Lack of link to clinical actions 63 6
Do not add to my clinical judgement 42 3
Encourage over-treatment 34 4
Encourage under-treatment 11 1
Other 8 1
Undermine my professionalism 4 1
Enablers   
Ensure good treatment decisions 133 16
Integration with electronic patient records 131 22
Quick to use 126 17
Strong link to clinical action 109 12
Add value to clinical judgement 93 12
Provides justification for clinical decisions 82 9
Easy to use 80 9
Transparency of the methods behind the risk score 32 2
Motivate patient to make lifestyle changes 27 1
Well incentivised 9 1
Other 0 0
  1. Key – QOF Quality and Outcomes Framework