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Electronic prescribing in ambulatory practice: promises, pitfalls, and potential solutions
1Philadelphia College of Pharmacy, University of the Sciences in Philadelphia, 600 South 43rd Street, Philadelphia, PA 19104-4495, USA. d.papshe@usip.edu
The American Journal of Managed Care
|July 24, 2001
Summary
Electronic prescribing offers significant benefits like reduced errors and improved care. However, overcoming funding, standardization, and provider resistance is crucial for its widespread adoption in ambulatory settings.
Area of Science:
- Healthcare Informatics
- Health Services Research
Background:
- Electronic prescribing (e-prescribing) systems are increasingly discussed for ambulatory care.
- The transition to digital health records and order entry presents both opportunities and challenges.
Purpose of the Study:
- To analyze the advantages of electronic prescribing in ambulatory care.
- To identify the obstacles hindering the adoption of e-prescribing.
Main Methods:
- Conducted comprehensive literature searches of MEDLINE and International Pharmaceutical Abstracts (1980-2000).
- Utilized a public search engine and cross-referencing for additional data.
- Included articles, symposia, and position statements from the United States.
Main Results:
- E-prescribing can decrease medication errors, shorten service gaps, enhance care quality, and boost patient satisfaction.
- Barriers include high funding needs, market fragmentation, lack of standards, provider resistance, and regulatory uncertainty.
- Potential solutions involve creating standardized systems and securing stakeholder buy-in.
Conclusions:
- Electronic prescribing offers substantial benefits for providers, patients, and managed care organizations.
- Addressing implementation challenges is key to realizing the full potential of e-prescribing technology.
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