J Am Med Inform Assoc - Barriers and facilitators to implementing electronic prescription: a systematic review of user groups' perceptions.

Tópicos

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Resumo

JECTIVE: We conducted a systematic review identifying users groups' perceptions of barriers and facilitators to implementing electronic prescription (e-prescribing) in primary care.METHODS: We included studies following these criteria: presence of an empirical design, focus on the users' experience of e-prescribing implementation, conducted in primary care, and providing data on barriers and facilitators to e-prescribing implementation. We used the Donabedian logical model of healthcare quality (adapted by Barber et al) to analyze our findings.RESULTS: We found 34 publications (related to 28 individual studies) eligible to be included in this review. These studies identified a total of 594 elements as barriers or facilitators to e-prescribing implementation. Most user groups perceived that e-prescribing was facilitated by design and technical concerns, interoperability, content appropriate for the users, attitude towards e-prescribing, productivity, and available resources.DISCUSSION: This review highlights the importance of technical and organizational support for the successful implementation of e-prescribing systems. It also shows that the same factor can be seen as a barrier or a facilitator depending on the project's own circumstances. Moreover, a factor can change in nature, from a barrier to a facilitator and vice versa, in the process of e-prescribing implementation.CONCLUSIONS: This review summarizes current knowledge on factors related to e-prescribing implementation in primary care that could support decision makers in their design of effective implementation strategies. Finally, future studies should emphasize on the perceptions of other user groups, such as pharmacists, managers, vendors, and patients, who remain neglected in the literature.

Resumo Limpo

jectiv conduct systemat review identifi user group percept barrier facilit implement electron prescript eprescrib primari caremethod includ studi follow criteria presenc empir design focus user experi eprescrib implement conduct primari care provid data barrier facilit eprescrib implement use donabedian logic model healthcar qualiti adapt barber et al analyz findingsresult found public relat individu studi elig includ review studi identifi total element barrier facilit eprescrib implement user group perceiv eprescrib facilit design technic concern interoper content appropri user attitud toward eprescrib product avail resourcesdiscuss review highlight import technic organiz support success implement eprescrib system also show factor can seen barrier facilit depend project circumst moreov factor can chang natur barrier facilit vice versa process eprescrib implementationconclus review summar current knowledg factor relat eprescrib implement primari care support decis maker design effect implement strategi final futur studi emphas percept user group pharmacist manag vendor patient remain neglect literatur

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