J Am Med Inform Assoc - Factors that physicians find encouraging and discouraging about electronic prescribing: a quantitative study.

Tópicos

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Resumo

To determine factors that physicians find encouraging and discouraging about e-prescribing and to compare these factors based on physicians' adoption status, a cross-sectional study was conducted using an internet-based survey administered to a national convenience sample of primary care physicians. A scale was developed to measure factors related to the adoption of e-prescribing. Analysis procedures included exploratory factor analysis, multivariate analysis of variance, and Tukey's post-hoc tests. 443 surveys were received and seven e-prescribing factors were identified. Pre-implementation and cost factors were found to be most discouraging, while software features were found to be most encouraging. The fact that current e-prescribers found e-prescribing factors to be more encouraging than future or non-e-prescribers suggests that 'fear of the unknown' may play a role in prescribers' perceptions of e-prescribing and associated software. These findings will enable consultants, vendors, and policymakers to facilitate the adoption of e-prescribing by directly targeting the factors that are most salient to physicians.

Resumo Limpo

determin factor physician find encourag discourag eprescrib compar factor base physician adopt status crosssect studi conduct use internetbas survey administ nation conveni sampl primari care physician scale develop measur factor relat adopt eprescrib analysi procedur includ exploratori factor analysi multivari analysi varianc tukey posthoc test survey receiv seven eprescrib factor identifi preimplement cost factor found discourag softwar featur found encourag fact current eprescrib found eprescrib factor encourag futur noneprescrib suggest fear unknown may play role prescrib percept eprescrib associ softwar find will enabl consult vendor policymak facilit adopt eprescrib direct target factor salient physician

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