Evidence map›Paper›PMID 41992196›Full record

ArticleBMC medical informatics and decision making2026

Examining usability of RxFill: integrating health IT to support medication adherence.

Taylor L Watterson, Aaron M Gilson, Peter C Kleinschmidt, Jamie A Stone

Abstract read
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Article in BMC medical informatics and decision making, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Taylor L WattersonUniversity of Illinois Chicago Retzky College of Pharmacy, 833 S. Wood Street 266 PHARM MC 871, Chicago, IL, 60612, USA. tlwatt@uic.edu.
Aaron M GilsonUniversity of Wisconsin-Madison School of Pharmacy, Madison, WI, USA.
Peter C KleinschmidtUniversity of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Jamie A StoneUniversity of Wisconsin-Madison School of Nursing, Madison, WI, USA.

Funding

HRSA HHS T32HP10010
6 · The paper itself

Abstract

backgroundOver 50% of patients do not take their medications as prescribed or are non-adherent. Primary care providers are well positioned to address non-adherence. However, current methods for obtaining adherence are unreliable. RxFill integrates prescription medication fill status and dispense dates from community pharmacies into clinic electronic health records (EHRs). The goal of this study was to examine RxFill usability during a simulated case with primary care providers.

methodsThe study took place at an academic health system that implemented RxFill in June 2022. Participants were asked to review a simulated patient chart and "think aloud." After, a semi-structured interview elicited attitudes towards RxFill, including usability. Participants also completed the System Usability Scale (SUS), which scores the functionality on a scale of 0-100. Think-aloud commentary and interview transcripts were analyzed via qualitative content analysis.

resultsEight providers participated in the study. The average SUS score was 81.25, generally considered "Acceptable." Qualitative themes included RxFill usefulness, ease of use, and fit into current workload. Participants reported RxFill data was useful to estimate patient adherence, however, running reports for each medication was time intensive. Participants had minimal time to review patient charts prior to appointments, which would limit their ability to use RxFill in practice.

conclusionsRxFill data, although useful, was not entirely easy to use and did not fit into participants' current workload. Institutions implementing RxFill should make dispense dates and fill indicators easy to access and consider workload and integration into other health IT systems. Additionally, RxFill use is limited by community pharmacy adoption and the ability to send fill data. CLINICAL

trial registrationNot applicable.

Indexed as

Attitude of Health PersonnelElectronic Health RecordsMedication AdherenceDigital HealthFemaleHumansPrimary Health CareMedication adherencePharmacyUsability

Identifiers

PMID41992196
PMCPMC13202846

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.