Aim: The aim of our study was to assess barriers and facilitators to CDSS use reported by European physicians treating older fallers and explore differences in their perceptions. Findings: Our main findings were that a barrier to CDSS use is that physicians feel that complex geriatric patients need a physician's clinical judgement and not the advice of a CDSS.
Regional differences in barrier and facilitator perceptions occurred across Europe. Message: Our main message is that when designing a CDSS for Geriatric falls patients, the patient's medical complexity must be addressed whilst maintaining the doctor's decision-making autonomy, and to increase successful CDSS implementation in Europe, regional differences in barrier perception should be overcome.