Department of Pharmacy Administration, The University of Mississippi School of Pharmacy, University, Mississippi 38677, USA.
J Am Med Inform Assoc. 2013 Jun;20(e1):e39-43. doi: 10.1136/amiajnl-2012-001214. Epub 2013 Jan 25.
To determine factors that physicians find encouraging and discouraging about e-prescribing and to compare these factors based on physicians' adoption status, a cross-sectional study was conducted using an internet-based survey administered to a national convenience sample of primary care physicians. A scale was developed to measure factors related to the adoption of e-prescribing. Analysis procedures included exploratory factor analysis, multivariate analysis of variance, and Tukey's post-hoc tests. 443 surveys were received and seven e-prescribing factors were identified. Pre-implementation and cost factors were found to be most discouraging, while software features were found to be most encouraging. The fact that current e-prescribers found e-prescribing factors to be more encouraging than future or non-e-prescribers suggests that 'fear of the unknown' may play a role in prescribers' perceptions of e-prescribing and associated software. These findings will enable consultants, vendors, and policymakers to facilitate the adoption of e-prescribing by directly targeting the factors that are most salient to physicians.
为了确定医生对电子处方感到鼓舞和沮丧的因素，并根据医生的采用状况对这些因素进行比较，采用基于互联网的问卷调查对全国初级保健医生进行了一项横断面研究。开发了一个量表来衡量与电子处方采用相关的因素。分析程序包括探索性因子分析、多元方差分析和 Tukey 事后检验。共收到 443 份调查，确定了 7 个电子处方因素。发现实施前和成本因素最令人沮丧，而软件功能最令人鼓舞。当前电子处方者认为电子处方因素比未来或非电子处方者更具鼓舞性，这表明“对未知的恐惧”可能在医生对电子处方及其相关软件的看法中发挥作用。这些发现将使顾问、供应商和政策制定者能够通过直接针对对医生最相关的因素来促进电子处方的采用。
