title: Physicians' experiences using commercial e-prescribing systems.
abstract: Public and private efforts are under way to promote electronic prescribing to improve health care safety, quality, and efficiency. Findings from this qualitative study of physician practices suggest that substantial gaps may exist between advocates' vision of e-prescribing and how physicians use commercial e-prescribing systems today. While physicians were positive about the most basic e-prescribing features, they reported major barriers to maintaining complete patient medication lists, using clinical decision support, obtaining formulary data, and electronically transmitting prescriptions to pharmacies. Three factors help explain the gaps: product limitations, external implementation challenges, and physicians' preferences about using specific product features.
authors.affiliation: Center for Studying Health System Change, Washington, DC, USA. jgrossman@hschange.org
authors.forename: Joy M
authors.initials: JM
authors.lastname: Grossman
authors.forename: Anneliese
authors.initials: A
authors.lastname: Gerland
authors.forename: Marie C
authors.initials: MC
authors.lastname: Reed
authors.forename: Cheryl
authors.initials: C
authors.lastname: Fahlman
mesh_terms: D001291:Attitude of Health Personnel; D003157:Community Pharmacy Services / Q000706:statistics & numerical data; D020000:Decision Support Systems, Clinical / Q000706:statistics & numerical data; D004346:Drug Information Services / Q000706:statistics & numerical data; D019538:Health Care Surveys; D006801:Humans; D050316:Medical Order Entry Systems / Q000706:statistics & numerical data*; D009862:Online Systems / Q000706:statistics & numerical data; D011364:Professional Practice / Q000706:statistics & numerical data; D014481:United States