Factors related to physicians' adoption of electronic prescribing: Results from a national survey
Factors related to physicians' adoption of electronic prescribing: Results from a national survey
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DOI：
10.1177/1062860604273775
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发表时间：
2005-01-01
影响因子：
1.4
通讯作者：
Nash, DB
中科院分区：
文献类型：
--
作者：
Pizzi, LT;Suh, DC;Nash, DB
电子处方（E-RX）是2003年医疗保险处方药、改进和现代化法案（MMA）的一个组成部分。本研究的目的在于找出影响门诊医师使用E-RX的因素。这项研究采用了一项电子调查，调查对象是订阅医师在线互联网服务的美国医生。将电子处方者与传统处方者在人口统计学、执业类型和地点、技术使用和对E-RX的信念方面进行比较。共有1104名医生回应，其中19%是电子处方。电子开处方者更有可能是在学术或公共资助中心执业的全科医生，实践时间较短，并且在技术设备齐全的办公室工作。在E-RX的局限性及其提高药物安全性和处方效率的潜力方面，他们也与传统处方者持有不同的信念。除了由MMA建立的财政激励外，还可以通过技术改进和组织承诺来刺激采用。
Electronic prescribing (E-RX) is a component of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA). The objective of this study was to identify factors related to physicians' adoption of E-RX for outpatients. This study employed an electronic survey of US physicians who subscribe to the Physicians Online Internet service. Electronic prescribers were compared to traditional prescribers in terms of demographics, practice type and location, technology use, and beliefs about E-RX. A total of 1104 physicians responded, 19% of whom prescribed electronically. Electronic prescribers were more likely to be generalists practicing in academic or publicly funded centers, have fewer years in practice, and work in technology-equipped offices. They also held different beliefs versus traditional prescribers in terms of E-RX limitations and its potential to improve medication safety and prescribing efficiency. In addition to financial incentives established by MMA, adoption can be stimulated by improvements in the technology and on organizational commitment.