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Technological viewpoints (frames) about electronic prescribing in physician practices.

Ritu Agarwal¹, Corey M Angst, Catherine M DesRoches

¹Center for Health Information and Decision Systems, Robert H. Smith School of Business, University of Maryland, College Park, Maryland, USA.

Journal of the American Medical Informatics Association : JAMIA

|July 3, 2010

Summary

This summary is machine-generated.

Physician views on electronic prescribing (eRx) adoption vary, impacting its use. Understanding these "technological frames" is key to improving health IT implementation.

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Area of Science:

Health Informatics
Health Services Research
Information Systems

Background:

Electronic prescribing (eRx) adoption in physician practices has been limited despite mandates and incentives.
Varying adoption and usage patterns suggest underlying factors influencing decision-making.

Purpose of the Study:

To examine the concept of "technological frames" related to eRx among healthcare professionals.
To understand how these frames influence the adoption, expectations, and utilization of eRx.

Main Methods:

Qualitative study employing focus groups, direct observation, and semi-structured interviews.
Involved physicians, practice managers, nurses, and other medical staff.
Triangulation of data from multiple sources to ensure robust findings.

Main Results:

Seven distinct technological frames for eRx were identified, ranging from positive (efficiency tool) to negative (unwelcome disruption).
These frames significantly shape perceptions of eRx value and its integration into practice.
Examples include eRx as a workflow enhancer, administrative tool, or mere artifact.

Conclusions:

Technological frames offer a crucial lens for understanding varied eRx adoption and perceived value.
Certain frames facilitate effective eRx use, while others create barriers.
Insights gained can inform the successful implementation of future health information technologies.