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Differences Between Integrated And Stand-Alone E-Prescribing Systems Have Implications For Future Use
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DOI：10.1377/hlthaff.2010.0557.png)
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Understanding the benefits of electronic prescribing systems has important implications for quality and efficiency in medical care. We surveyed physicians about their use of e-prescribing in outpatient practices. We found that physicians who use e-prescribing systems integrated into an electronic health record have different characteristics, usage patterns, perceived benefits, and levels of satisfaction than physicians who use stand-alone systems. For example, although only 56 percent of the physicians we surveyed said that they checked a patient's drug history most or all of the time when writing a prescription, those with integrated systems were significantly more likely to report doing so than their counterparts with stand-alone systems. Our findings have implications for the American Recovery and Reinvestment Act's requirements for e-prescribing and the future use of this technology. Because many stand-alone systems cannot meet meaningful-use requirements, there is likely to be a shift toward integrated systems.
Keyword:
ELECTRONIC HEALTH RECORDS
MEDICATION SAFETY ALERTS
AMBULATORY-CARE
TIME-MOTION
PHYSICIANS
ADOPTION
IMPACT
COST
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