Connecting primary care clinics and community pharmacies through a nationwide electronic prescribing network: A qualitative study

Gagnon, Marie‐Pierre; Payne-Gagnon, Julie; Sicotte, Claude; Langué-Dubé, Julie-Alexandra; Motulsky, Aude

doi:10.14236/jhi.v22i3.168

Cited by 6 publications

(9 citation statements)

References 34 publications

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“…As outlined earlier in this paper, the EHR systems and the prescription centre support each other poorly. These challenges have been reported in other publications [10,32,40]. As has been reported in our findings as long as the technical solutions are not working properly, it is hard to motivate medical personnel to improve their work processes.…”

Section: Discussionsupporting

confidence: 67%

“…As well, study participants believed that drug abuse had decreased as a result of the introduction of e‐prescribing. These findings are consistent with that of Gagnon and colleagues who published similar results in their 2015 publication. The participants were satisfied with the availability of patient information, the medication selection feature, drug–drug interaction alerts (that supported decision‐making) and the updated list of medications in the e‐prescribing system.…”

Section: Discussionmentioning

confidence: 99%

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General practitioners' attitudes towards electronic prescribing and the use of the national prescription centre

Kivekäs

Enlund

Borycki

et al. 2016

Evaluation Clinical Practice

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E-prescribing has improved GP's patient medication management, meeting Finland's national objectives. E-prescriptions not only reinforce the process of writing, transmitting and checking the authenticity of prescriptions but also make it mandatory for all key prescription information to be present for transmission. The perceived usefulness of e-prescribing by GPs could lead to more widespread adoption of the technology. Making e-prescribing more user friendly requires reforming work processes, which in turn would enhance the effectiveness of GP work.

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Section: Discussionsupporting

confidence: 67%

Section: Discussionmentioning

confidence: 99%

General practitioners' attitudes towards electronic prescribing and the use of the national prescription centre

Kivekäs

Enlund

Borycki

et al. 2016

Evaluation Clinical Practice

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“…A paper from Canada sets out the barriers to implementing e-prescribing; these include legal and regulatory, system integration and insensitivity to local context 5. This is followed by an interesting paper that reports how there is consensus around the components of a quality computerised medical record system.…”

Section: Barriers To Replacing Old Processes With Computersmentioning

confidence: 99%

In this issue: Time to replace doctors’ judgement with computers

Lusignan

2015

jhi

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Informaticians continue to rise to the challenge, set by the English Health Minister, of trying to replace doctors' judgement with computers. This issue describes successes and where there are barriers. However, whilst there is progress this tends to be incremental and there are grand challenges to be overcome before computers can replace clinician. These grand challenges include: (1) improving usability so it is possible to more readily incorporate technology into clinical workflow; (2) rigorous new analytic methods that make use of the mass of available data, 'Big data', to create real-world evidence; (3) faster ways of meeting regulatory and legal requirements including ensuring privacy; (4) provision of reimbursement models to fund innovative technology that can substitute for clinical time and (5) recognition that innovations that improve quality also often increase cost. Informatics more is likely to support and augment clinical decision making rather than replace clinicians.

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“…Throughout the categories, dimensions, and levels there are feedback loops, which are indicated by the arrows in Figure 1, that resembles the interplay between the factors and nondeterministic characteristics of HIS adoption and the outcomes of HIS use [9,11]. The CAF was applied in over 30 studies [12][13][14][15][16][17][18]. The CAF is a complex framework consisting of 43 categories that belong to 15 dimensions (illustrated as small boxes in Figure 1), which are further separated into the 3 previously mentioned micro, meso, and macro levels [9].…”

Section: Introductionmentioning

confidence: 99%

“…The CAF was considered difficult to apply as there was no guidance documentation with explicit descriptions and rules regarding its use [11]. Consequently, studies [15][16][17][18] that have applied the CAF differed in their interpretations and applications. Furthermore, HIS adoption increasingly involves sharing medical data with patients and informal caregivers.…”

Section: Introductionmentioning

confidence: 99%

Towards an Adoption Framework for Patient Access to Electronic Health Records: Systematic Literature Mapping Study

Mens¹,

Duijm²,

Nienhuis³

et al. 2020

JMIR Med Inform

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Background Patient access to electronic health records (EHRs) is associated with increased patient engagement and health care quality outcomes. However, the adoption of patient portals and personal health records (PHRs) that facilitate this access is impeded by barriers. The Clinical Adoption Framework (CAF) has been developed to analyze EHR adoption, but this framework does not consider the patient as an end-user. Objective We aim to extend the scope of the CAF to patient access to EHRs, develop guidance documentation for the application of the CAF, and assess the interrater reliability. Methods We systematically reviewed existing systematic reviews on patients' access to EHRs and PHRs. Results of each review were mapped to one of the 43 CAF categories. Categories were iteratively adapted when needed. We measured the interrater reliability with Cohen’s unweighted kappa and statistics regarding the agreement among reviewers on mapping quotes of the reviews to different CAF categories. Results We further defined the framework’s inclusion and exclusion criteria for 33 of the 43 CAF categories and achieved a moderate agreement among the raters, which varied between categories. Conclusions In the reviews, categories about people, organization, system quality, system use, and the net benefits of system use were addressed more often than those about international and regional information and communication technology infrastructures, standards, politics, incentive programs, and social trends. Categories that were addressed less might have been underdefined in this study. The guidance documentation we developed can be applied to systematic literature reviews and implementation studies, patient and informal caregiver access to EHRs, and the adoption of PHRs.

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Connecting primary care clinics and community pharmacies through a nationwide electronic prescribing network: A qualitative study

Abstract: This study, based on the CAF, provides a better understanding of the factors related to the adoption of a nationwide e-prescribing network connecting primary care clinics and community pharmacies.

Cited by 6 publications

References 34 publications

General practitioners' attitudes towards electronic prescribing and the use of the national prescription centre

General practitioners' attitudes towards electronic prescribing and the use of the national prescription centre

In this issue: Time to replace doctors’ judgement with computers

Towards an Adoption Framework for Patient Access to Electronic Health Records: Systematic Literature Mapping Study

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