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Physicians' attitudes towards ePrescribing: evaluation of a Swedish full-scale implementation
University of Kalmar, eHealth Institute, School of Human Sciences, University of Kalmar,.
University of Kalmar, eHealth Institute, School of Human Sciences, University of Kalmar,.
University of Kalmar, eHealth Institute, School of Human Sciences, University of Kalmar,.
University of Kalmar, School of Pure and Applied Natural Sciences.
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2009 (English)In: BMC Medical Informatics and Decision Making, ISSN 1472-6947, E-ISSN 1472-6947, Vol. 9, no August, p. Article number: 37-Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The penetration rate of Electronic Health Record (EHR) systems in health care is increasing. However, many different EHR-systems are used with varying ePrescription designs and functionalities. The aim of the present study was to evaluate experienced ePrescribers' attitudes towards ePrescribing for suggesting improvements. METHODS: Physicians (n = 431) from seven out of the 21 Swedish health care regions, using one of the six most widely implemented EHR-systems with integrated electronic prescribing modules, were recruited from primary care centers and hospital clinics of internal medicine, orthopaedics and surgery. The physicians received a web survey that comprised eight questions on background data and 19 items covering attitudes towards ePrescribing. Forty-two percent (n = 199) of the physicians answered the questionnaire; 90% (n = 180) of the respondents met the inclusion criteria and were included in the final analysis. RESULTS: A majority of the respondents regarded their EHR-system easy to use in general (81%), and for the prescribing of drugs (88%). Most respondents believed they were able to provide the patients better service by ePrescribing (92%), and regarded ePrescriptions to be time saving (91%) and to be safer (83%), compared to handwritten prescriptions. Some of the most frequently reported weaknesses were: not clearly displayed price of drugs (43%), complicated drug choice (21%), and the perception that it was possible to handle more than one patient at a time when ePrescribing (13%). Moreover, 62% reported a lack of receipt from the pharmacy after successful transmission of an ePrescription. Although a majority (73%) of the physicians reported that they were always or often checking the ePrescription a last time before transmitting, 25% declared that they were seldom or never doing a last check. The respondents suggested a number of improvements, among others, to simplify the drug choice and the cancellation of ePrescriptions. CONCLUSION: The Swedish physicians in the group studied were generally satisfied with their specific EHR-system and with ePrescribing as such. However, identified weaknesses warrant improvements of the EHR-systems as well as of their implementation in the individual health care organisation.

Place, publisher, year, edition, pages
2009. Vol. 9, no August, p. Article number: 37-
Keywords [en]
Electronic Prescribing, Diffusion of Innovation, Attitude to Computers, Health Care Surveys, Computerized Medical Records Systems, Physicians, Sweden
Keywords [sv]
Elektronisk förskrivning, e-recept, läkare, enkät
National Category
Medical and Health Sciences
Research subject
Health and Caring Sciences, Health Informatics
Identifiers
URN: urn:nbn:se:hik:diva-2669DOI: 10.1186/1472-6947-9-37PubMedID: 19664219OAI: oai:DiVA.org:hik-2669DiVA, id: diva2:293949
Available from: 2010-06-02 Created: 2010-02-15 Last updated: 2017-12-12Bibliographically approved

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Hellström, LinaMontelius, EmelieÅstrand, BengtPetersson, Göran
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