初级保健医生对电子处方的采用和使用情况。

Adoption of and experience with e-prescribing by primary care physicians.

机构信息

Department of Pharmacy Administration, The University of Mississippi School of Pharmacy, Faser Hall, Room 223, PO Box 1848, University, MS 38677, USA.

出版信息

Res Social Adm Pharm. 2013 Jan-Feb;9(1):120-8. doi: 10.1016/j.sapharm.2012.04.003. Epub 2012 Jun 12.

DOI:10.1016/j.sapharm.2012.04.003

PMID:22695213

Abstract

BACKGROUND

The impetus of electronic prescribing (e-prescribing) is the reduction of preventable medication errors by generating a legible prescription checked via e-prescribing software for drug-drug and other interactions. Although the adoption of e-prescribing among physicians is growing, the Institute of Medicine's recommendations that all prescriptions be routed electronically by 2010 certainly has not been met.

OBJECTIVES

To provide an update on e-prescribing use among primary care physicians (PCPs), describe their experience with e-prescribing, and provide insight into prescribers' decisions to implement e-prescribing in their practices.

METHODS

An Internet-based survey was administered to a national convenience sample of physicians. The respondents were categorized into e-prescribers or non-e-prescribers. Data to describe demographic characteristics, respondents' experiences with e-prescribing, and respondents' decision to implement e-prescribing were collected. Nonparametric tests were used to test differences in the factors influencing e-prescribers' and traditional prescribers' decisions about electronic prescription implementation.

RESULTS

Four hundred forty-three PCPs participated in the study. There were no significant differences in the demographic characteristics of e-prescribers and non-e-prescribers. Most e-prescribers (83%) reported satisfaction with their e-prescribing system and a preference for e-prescribing over traditional prescribing. Although 22% of respondents indicated that they have started and stopped e-prescribing, most have resumed or intended to resume e-prescribing in the near future. More than half of the respondents reported that they are experiencing problems with their e-prescribing software.

CONCLUSIONS

E-prescribing appears to be present in many types of primary care practices and geographic areas of the country. Despite their satisfaction with and preference for e-prescribing, PCPs still appear to be experiencing problems with e-prescribing software. Implications of these study results for the pharmacy profession are discussed.

摘要

背景

电子处方（e-prescribing）的推动力是通过电子处方软件生成可识别的处方来检查药物相互作用和其他相互作用，从而减少可预防的药物错误。尽管医生采用电子处方的比例正在增长，但医学研究所建议到 2010 年所有处方都应通过电子方式发送，这一目标肯定没有实现。

目的

提供初级保健医生（PCP）电子处方使用情况的最新信息，描述他们使用电子处方的经验，并深入了解医生在实践中实施电子处方的决策。

方法

对全国便利样本的医生进行了基于互联网的调查。受访者分为电子处方者和非电子处方者。收集了描述人口统计学特征、受访者使用电子处方的经验以及受访者决定在实践中实施电子处方的数据。使用非参数检验来检验影响电子处方者和传统处方者电子处方实施决策的因素的差异。

结果

443 名 PCP 参与了这项研究。电子处方者和非电子处方者的人口统计学特征没有显著差异。大多数电子处方者（83%）对他们的电子处方系统表示满意，并更喜欢电子处方而不是传统处方。尽管有 22%的受访者表示他们已经开始并停止使用电子处方，但大多数人已经或打算在不久的将来重新开始使用电子处方。超过一半的受访者报告他们在使用电子处方软件时遇到问题。