Volume 25, Issue 3 (12-2022)                   jha 2022, 25(3): 108-124 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Alavi Amlashi S R, Kazemnejad Leyli E, Sheikhtaheri A. Physicians’ and Pharmacists’ viewpoint on ambulatory electronic prescription system. jha 2022; 25 (3) :108-124
URL: http://jha.iums.ac.ir/article-1-4243-en.html
1- M.Sc, Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran
2- Associate Professor, Department of Biostatistics, School of Health, Guilan University of Medical Sciences, Guilan.
3- Associate Professor, Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran , tt_taheri@yahoo.com
Abstract:   (1570 Views)
Introduction:Electronic prescription has been implemented in many countries and the first use of this technology was in outpatient care. In this study, perspective of physicians and pharmacists working in private and public sector (social security organization affiliated clinics) in Guilan province were studied.
Methods: This study was performed in 2021. The questionnaire was developed using a literature review and evaluated in terms of reliability and validity. The final questionnaire (9 dimensions and 31 questions) was distributed electronically among all private and public physicians and pharmacists (social security organization affiliated clinics) in Guilan province. 405 people (268 physicians and 137 pharmacists) answered the questions. The data were analyzed via descriptive analysis using SPSS version 26.
Results: Mean of dimensions included actual use (3.41), social influence (3.09), behavioral intention (3.05), expected effort (2.96), habit (2.93), trust (2.91), expected performance (2.81), facilitating conditions (2.62) and price value (2.55). The score of price value indicted that participants believed that the cost and benefits of the system is not balanced. The score of facilitating conditions showed that users did not have adequate financial, human, educational and supportive resources.
Conclusion: According to results, electronic prescription system was not considered a useful technology based on the participants’ perspectives. Barriers, vendors’ cooperation to improve the system, government’s legal and regulatory support should be considered to remove adoption barriers and improve electronic prescription system in ambulatory settings.
Full-Text [PDF 1114 kb]   (589 Downloads)    
Type of Study: Research | Subject: Health Information Management
Received: 2022/06/27 | Accepted: 2022/09/20 | Published: 2023/03/13

References
1. Sands DZ. E-Prescribing: What is it? Why should i do it? What's in the future? Washington, DC: American College of Physicians Internal Medicine; 2008.
2. Tamblyn R. Improving patient safety through computerized drug management: The devil is in the details. Healthc Pap. 2004,5(3):52-68. [DOI:10.12927/hcpap..16866]
3. Odukoya O, Chui MA. Retail pharmacy staff perceptions of design strengths and weaknesses of electronic prescribing. J Am Med Inform Assoc. 2012,19(6):1059-65. [DOI:10.1136/amiajnl-2011-000779]
4. Crosson JC, Etz RS, Wu S, Straus SG, Eisenman D, Bell DS. Meaningful use of electronic prescribing in 5 exemplar primary care practices. Ann Fam Med. 2011,9(5):392-7. [DOI:10.1370/afm.1261]
5. Gerstle RS, Lehmann CU. Electronic prescribing systems in pediatrics: The rationale and functionality requirements. Pediatrics. 2007,119(6):1-10. [DOI:10.1542/peds.2007-0889]
6. Hypponen H, Salmivalli L, Suomi R. Organizing for a national infrastructure project: The case of the finnish electronic prescription. Proceedings of the 38th Annual Hawaii International Conference on System Sciences; 2005 Jan 6; Big Island, HI, USA. IEEE; 2005. p. 1-10.
7. Joia LA, Magalhaes C. Implementation of an electronic prescription system in a Brazilian general hospital: Understanding sources of resistance. The Electronic Journal on Information Systems in Developing Countries. 2009,39(1):1-18. [DOI:10.1002/j.1681-4835.2009.tb00276.x]
8. Salmivalli L, Hilmola OP. Business pluralism of electronic prescriptions: State of development in Europe and the USA. Int J Electron Healthc. 2006,2(2):132-48. [DOI:10.1504/IJEH.2006.008828]
9. Bell DS, Cretin S, Marken RS, Landman AB. A conceptual framework for evaluating outpatient electronic prescribing systems based on their functional capabilities. J Am Med Inform Assoc. 2004,11(1):60-70. [DOI:10.1197/jamia.M1374]
10. Holden RJ, Karsh B-T. The technology acceptance model: Its past and its future in health care. J Biomed Inform. 2010,43(1):159-72. [DOI:10.1016/j.jbi.2009.07.002]
11. Alazzam MB, Basari ASH, Sibghatullah AS, Ramli MR, Jaber MM, Naim MH. Pilot study of EHRs acceptance in Jordan hospitals by UTAUT2. J Theor Appl Inf Technol. 2016,85(3):378-93.
12. Ketikidis P, Dimitrovski T, Lazuras L, Bath PA. Acceptance of health information technology in health professionals: An application of the revised technology acceptance model. Health Informatics J. 2012,18(2):124-34. [DOI:10.1177/1460458211435425]
13. Middleton B, Bloomrosen M, Dente MA, Hashmat B, Koppel R, Overhage JM, et al. Enhancing patient safety and quality of care by improving the usability of electronic health record systems: Recommendations from AMIA. J Am Med Inform Assoc. 2013,20(e1):1-7. [DOI:10.1136/amiajnl-2012-001458]
14. Omotosho A, Emuoyibofarhe J, Ayegba P, Meinel C. E-Prescription in Nigeria: A survey. Journal of Global Pharma Technology. 2018,10(12):58-64.
15. Tomi D. Investigation of national readiness for e-health in a South East European country: Technology acceptance for electronic health records [dissertation]. Sheffield: University of Sheffield, Faculty of Social Sciences; 2018.
16. Omar A. Evaluation of electronic prescribing system-user acceptance perspective [master's thesis]. Sweden: Linnaeus University, Faculty of Technology; 2016.
17. Ahmadi M, Samadbeik M, Sadoughi F. Modeling of outpatient prescribing process in Iran: A gateway toward electronic prescribing system. Iran J Pharm Res. 2014,13(2):725-38.
18. Venkatesh V, Thong JYL, Xu X. Unified theory of acceptance and use of technology: A synthesis and the road ahead. J Assoc Inf Syst. 2016,17(5):328-76. [DOI:10.17705/1jais.00428]
19. Davis FD. Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Q. 1989:319-40. [DOI:10.2307/249008]
20. Bennani AE, Oumlil R. IT acceptance by nurses in Morocco: Application of a modified unified theory of acceptance and use of technology. IBIMA Business Review. 2014,2014:1-10. [DOI:10.5171/2013.849383]
21. Alharbi ST. Trust and acceptance of cloud computing: A revised UTAUT model. Proceedings of the international conference on computational science and computational intelligence; 2014 Mar 10-13; Las Vegas, NV, USA. IEEE; 2014. p. 131-4. [DOI:10.1109/CSCI.2014.107]
22. Cohen JF, Bancilhon J-M, Jones M. South African physicians' acceptance of e-prescribing technology: An empirical test of a modified UTAUT model. S Afr Comput J. 2013,50(1):43-54. [DOI:10.18489/sacj.v50i1.175]
23. Goudarzvand Ghegini M, Esmaeili S. The study of organizational culture associated with unified theory of acceptance and use of technology model in hospitals of Rasht. Payavard Salamat. 2015,9(1):29-42. [In Persian] [DOI:10.1002/9781118785317.weom070047]
24. Samadbeik M, Ahmadi M, Sadoughi F. An applied review model of electronic prescription system in developed countries. Journal of Clinical Research in Paramedical Sciences. 2016,5(2):90-104. [In Persian]
25. Savari E, Ajami S. Electronic prescription and medication errors. Health Information Management .2015,12(2):263-72. [In Persian]
26. Abramson EL, Barron Y, Quaresimo J, Kaushal R. Electronic prescribing within an electronic health record reduces ambulatory prescribing errors. Jt Comm J Qual Patient Saf. 2011,37(10):470-78. [DOI:10.1016/S1553-7250(11)37060-2]
27. Rahimi B, Timpka T. Pharmacists' views on integrated electronic prescribing systems: Associations between usefulness, pharmacological safety, and barriers to technology use. Eur J Clin Pharmacol. 2011,67(2):179-84. [DOI:10.1007/s00228-010-0936-9]
28. Sharifi M, Ayat M, Jahanbakhsh M, Tavakoli N, Mokhtari H, Wan Ismail WK. E-health implementation challenges in Iranian medical centers: A qualitative study in Iran. Telemed J E Health. 2013,19(2):122-8. [DOI:10.1089/tmj.2012.0071]
29. Mosweu O, Bwalya K, Mutshewa A. Examining factors affecting the adoption and usage of document workflow management system (DWMS) using the UTAUT model: Case of Botswana. Record Manag J. 2016,26:38-67. [DOI:10.1108/RMJ-03-2015-0012]
30. Nematollahi M, Moosavi A, Lazem M, Aslani N, Kafashi M, Garavand A. Factors affecting in adoption and use of electronic medical record based on unified theory of acceptance and use of technology in Iran. Shiraz E Med J. 2017,18(9):1-6. [DOI:10.5812/semj.57582]
31. Venkatesh V, Thong JYL, Xu X. Consumer acceptance and use of information technology: Extending the unified theory of acceptance and use of technology. MIS Q. 2012,36(1):157-178. [DOI:10.2307/41410412]
32. Indrawati, Putri DA. Analyzing factors influencing continuance intention of e-payment adoption using modified utaut 2 model. Proceedings of the 6th International Conference on Information Communication Technology; 2018 May 3-5; Bandung, Indonesia. IEEE; 2018. p. 167-73. [DOI:10.1109/ICoICT.2018.8528748]
33. Ameri A, Khajouei R, Ameri A, Jahani Y. Acceptance of a mobile-based educational application (LabSafety) by pharmacy students: An application of the UTAUT2 model. Educ Inf Technol (Dordr). 2020,25(1):419-35. [DOI:10.1007/s10639-019-09965-5]
34. Kupfer A, Ableitner L, Schob S, Tiefenbeck V. Technology Adoption vs. Continuous usage intention: Do decision criteria change when using a technology? Proceedings of the Twenty-second Americas Conference on Information Systems; 2016; San Diego, USA. AIS Electronic Library; 2016. p. 1-10.
35. Wrzosek N, Zimmermann A, Balwicki L. Doctors' perceptions of e-prescribing upon its mandatory adoption in Poland, using the unified theory of acceptance and use of technology method. Healthcare (Basel). 2020,8(4):1-13. [DOI:10.3390/healthcare8040563]
36. Palappallil DS, Pinheiro C. Perceptions of prescribers towards electronic prescription: A pre-implementation evaluation. J Young Pharm. 2018,10(3):313-7. [DOI:10.5530/jyp.2018.10.69]
37. McLeod M, Karampatakis GD, Heyligen L, McGinley A, Franklin BD. The impact of implementing a hospital electronic prescribing and administration system on clinical pharmacists' activities - a mixed methods study. BMC Health Serv Res. 2019,19(1):1-12. [DOI:10.1186/s12913-019-3986-4]
38. Almutairi BA, Potts HWW, Al-Azmi SF. Physicians' perceptions of electronic prescribing with electronic medical records in Kuwaiti primary healthcare centres. Sultan Qaboos Univ Med J. 2018,18(4):1-7. [DOI:10.18295/squmj.2018.18.04.008]
39. Sayyadi-Tooranloo H, Mirghafouri H, Namjo M, Saghafi S. Assessing the efficient factors on implementing electronic extinction in pharmacies of Yazd, Iran. Health Information Management. 2019,16(4):154-160. [In Persian]
40. Marceglia S, Mazzola L, Bonacina S, Tarquini P, Donzelli P, Pinciroli F. A comprehensive e-prescribing model to allow representing, comparing, and analyzing available systems. Methods Inf Med. 2013,52(3):199-219. [DOI:10.3414/ME12-01-0069]
41. Azizi M, Roozbahani N, Khatony A. Factors affecting the acceptance of blended learning in medical education: Application of UTAUT2 model. BMC Med Educ. 2020,20(1):1-9. [DOI:10.1186/s12909-020-02302-2]
42. Khan IU, Khan SU, Waheed A, Yu Y, Hameed Z. Assessing the physicians' acceptance of e-prescribing in a developing country: An extension of the UTAUT model with moderating effect of perceived organizational support. J Global Inform Manag. 2018,26(3):121-42. [DOI:10.4018/JGIM.2018070109]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Journal of Health Administration

Designed & Developed by : Yektaweb