Health Human Resources Research Center, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Genetics of Non-Communicable Disease Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
Appl Clin Inform. 2024 May;15(3):428-436. doi: 10.1055/s-0044-1786872. Epub 2024 May 29.
Despite the evidence suggesting the potential of electronic prescribing (e-prescribing), this system also faces challenges that can lead to inefficiency and even failure. This study aimed to evaluate physicians' perspectives on the efficiency, effectiveness, opportunities, and challenges associated with the e-prescribing system.
In 2023, a descriptive analytics cross-sectional study was carried out. Due to the finite population size, all the physicians from five studied hospitals who agreed to participate in the study were included through the census method ( = 195). Data collection was conducted using a validated questionnaire. Data were analyzed using descriptive (mean, standard deviation, and frequency) and analytical (Pearson's correlation coefficient, two-sample -test, one-way analysis of variance (ANOVA), and linear multiple regression model) statistics.
The mean scores of efficiency and effectiveness were 47.47 ± 14.46 and 36.09 ± 10.67 out of 95 and 65, respectively. Removing the illegibility of the prescriptions ( = 22) was the most frequent opportunity and internet connectivity problem ( = 37) was the most frequent challenge associated with the e-prescribing system. There was a strong positive significant correlation between efficiency and effectiveness (r = 0.850, 0.01). Moreover, age was found to have a significant negative correlation with efficiency (B = -7.261, = 0.004) and effectiveness (B = - 5.784, = 0.002).
Physicians believe that e-prescribing enhances the efficiency and effectiveness of their work. There are many opportunity and challenges to the use of e-prescription. Assessing the needs of physicians, actively participating and training them in the stages of design and implementation, and conducting regular evaluations of the e-prescribing system are crucial to overcome the challenges. Our finding offers insightful information about how doctors see the e-prescribing system at teaching hospitals and provide a basis for managers and policy makers at the local and national levels to support the implementation of this system and plan for improvement of its shortcomings.
尽管有证据表明电子处方(e-prescribing)具有潜力,但该系统也面临着效率低下甚至失败的挑战。本研究旨在评估医生对电子处方系统相关效率、效果、机会和挑战的看法。
2023 年进行了一项描述性分析的横断面研究。由于总体规模有限,通过普查法纳入了来自五所研究医院的所有同意参与研究的医生(n=195)。使用经过验证的问卷进行数据收集。采用描述性(均值、标准差和频率)和分析性(Pearson 相关系数、两样本 t 检验、单因素方差分析(ANOVA)和线性多元回归模型)统计方法对数据进行分析。
效率和效果的平均得分为 95 分制的 47.47±14.46 分和 65 分制的 36.09±10.67 分。消除处方的不清晰性(n=22)是最常见的机会,而互联网连接问题(n=37)是与电子处方系统相关的最常见挑战。效率和效果之间存在强正显著相关性(r=0.850,p=0.01)。此外,年龄与效率(B=-7.261,p=0.004)和效果(B=-5.784,p=0.002)呈显著负相关。
医生认为电子处方提高了他们工作的效率和效果。电子处方的使用存在许多机遇和挑战。评估医生的需求,在设计和实施阶段积极参与并对他们进行培训,以及定期评估电子处方系统,对于克服挑战至关重要。我们的研究结果提供了有关医生如何看待教学医院的电子处方系统的有价值信息,并为地方和国家层面的管理人员和政策制定者提供了依据,以支持该系统的实施,并计划改进其不足之处。