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Primary Care Provider Perspectives on Electronic Medication Refill History
Dominique Comer1, Elizabeth Mearns2, Lindsey Olivere3
11 Christiana Care Health System, Newark, DE.
Summary
Primary care providers (PCPs) are aware of electronic health record (EHR) pharmacy history data, but barriers limit its use. Improving data accessibility can enhance medication reconciliation and clinical decision-making.
Area of Science:
- Health Informatics
- Primary Care Medicine
- Clinical Pharmacy
Background:
- Electronic health records (EHRs) increasingly integrate multipayer pharmacy claims data.
- This integration offers potential for improved clinical decision-making.
Purpose of the Study:
- To assess primary care provider (PCP) awareness, utilization, and perceived impact of EHR-available pharmacy history data.
- To identify barriers to the effective use of this data in clinical practice.
Main Methods:
- A survey assessing awareness, utilization, and perceived utility of EHR pharmacy history was distributed to PCPs.
- Data from 55 responding PCPs in a large medical practice were analyzed.
Main Results:
- High awareness (85.5%) of EHR medication history function was reported among PCPs.
- A significant portion (65.5%) had previously utilized the function.
- Pharmacy history data was deemed most useful for narcotic prescribing decisions and addressing nonadherence.
Conclusions:
- EHR pharmacy history data shows potential for improving medication reconciliation and PCP decision-making.
- Barriers such as data loading delays and time constraints need to be addressed for wider adoption.
- Future efforts should prioritize data completeness and ease of access for routine clinical practice.
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