ArticleJournal of the American Medical Informatics Association : JAMIA2015
Challenges to the implementation of a nationwide electronic prescribing network in primary care: a qualitative study of users' perceptions.
Article in Journal of the American Medical Informatics Association : JAMIA, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
9 citing papers in PubMed.
- Policy context and digital development: a comparative study of trajectories in 4 Canadian academic health centers over 30 years.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Strengths, weaknesses, opportunities, and threats (SWOT) of the electronic prescribing systems executed in Iran from the physician's viewpoint: a qualitative study.BMC medical informatics and decision making · 2024Article
- Physicians' Perspectives with the E-prescribing System in Five Teaching Hospitals.Applied clinical informatics · 2024Article
- E-prescribing and medication safety in community settings: A rapid scoping review.Exploratory research in clinical and social pharmacy · 2023Article
- Digital Health in Physicians' and Pharmacists' Office: A Comparative Study of e-Prescription Systems' Architecture and Digital Security in Eight Countries.Omics : a journal of integrative biology · 2021Review
- Interruptions in community pharmacies: Frequency, sources, and mitigation strategies.Research in social & administrative pharmacy : RSAP · 2019Article
- Twenty-five years of national health IT: exploring strategy, structure, and systems in the English NHS.Journal of the American Medical Informatics Association : JAMIA · 2019Article
- Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada.Journal of the American Medical Informatics Association : JAMIA · 2018Article
- Stepping Up to the Plate: An Agenda for Research and Policy Action on Electronic Medical Records in Canadian Primary Healthcare.Healthcare policy = Politiques de sante · 2016Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectiveThe objective of this study was to identify physicians' and pharmacists' perceptions of the challenges and benefits to implementing a nationwide electronic prescribing network linking medical clinics and community pharmacies in Quebec, Canada.
methodsForty-nine people (12 general practitioners, 2 managers, 33 community pharmacists, and 2 pharmacy staff members) from 40 points of care (10 primary care clinics (42% of all the connected sites) and 30 community pharmacies (44%)) were interviewed in 2013. Verbatim transcripts were analyzed using thematic analysis.
resultsA low level of network use was observed. Most pharmacists processed e-prescriptions by manual entry instead of importing electronically. They reported concerns about potential errors generated by importing e-prescriptions, mainly due to the instruction field. Paper prescriptions were still perceived as the best means for safe and effective processing of prescriptions in pharmacies. Speed issues when validating e-prescription messages were seen as an irritant by physicians, and resulted in several of them abandoning transmission. Displaying the medications based on the dispensing data was identified as the main obstacle to meaningful use of medication histories.
conclusionsNumerous challenges impeded realization of the benefits of this network. Standards for e-prescription messages, as well as rules for message validation, need to be improved to increase the potential benefits of e-prescriptions. Standard drug terminology including the concept of clinical medication should be developed, and the implementation of rules in local applications to allow for the classification and reconciliation of medication lists from dispensing data should be made a priority.
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Registered trials
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