Hufstader Gabriel Meghan, Yang Yi, Vaidya Varun, Wilkins Tricia Lee
Office of the National Coordinator for Health IT, 200 Independence Ave, SW, Ste 745H.2.5, Washington, DC 20201. E-mail:
Am J Manag Care. 2014 Nov;20(11 Spec No. 17):SP541-6.
Electronic prescribing for Schedule II through V controlled substances was legalized in the United States by the Drug Enforcement Administration in June 2010. However, little information exists about adoption and use of the electronic prescribing of controlled substances (EPCS) at the national level. Therefore, the objective of this study is to present the first information about national trends surrounding the adoption and use of the newly allowed EPCS by providers and pharmacies in the United States.
Trends of EPCS adoption and use were examined for the number of EPCS, number of pharmacies enabled to accept EPCS, and the number of providers prescribing controlled substances electronically.
Using nationally representative transactional Surescripts data from July 2012 to December 2013, we examined EPCS trends.
During the study period, the total number of EPCS increased from 1535 to 52,423, and the number and percentage of all pharmacies enabled for EPCS increased from 8768 (13%) to 20,498 pharmacies (30%). The proportion of all providers prescribing controlled substances electronically is currently 1%, but increasing steadily each month.
There is a positive national growth for EPCS in pharmacy preparedness to accept EPCS, the number of EPCS prescriptions sent each month, and the number of providers with the ability to send EPCS.
2010年6月，美国药品执法管理局将二类至五类管制药品的电子处方合法化。然而，关于全国范围内管制药品电子处方（EPCS）的采用和使用情况，相关信息甚少。因此，本研究的目的是首次呈现有关美国医疗服务提供者和药房采用和使用新允许的EPCS的全国趋势信息。
对EPCS的采用和使用趋势进行了研究，涉及EPCS的数量、能够接受EPCS的药房数量以及以电子方式开具管制药品处方的医疗服务提供者数量。
利用2012年7月至2013年12月具有全国代表性的Surescripts交易数据，我们研究了EPCS趋势。
在研究期间，EPCS的总数从1535增加到52423，所有能够接受EPCS的药房数量及其占比从8768家（13%）增加到20498家药房（30%）。目前，所有以电子方式开具管制药品处方的医疗服务提供者的比例为1%，但每月都在稳步增加。
在药房接受EPCS的准备情况、每月发送的EPCS处方数量以及能够发送EPCS的医疗服务提供者数量方面，EPCS在全国呈现积极增长态势。
