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首页> 外文期刊>BMC Medical Informatics and Decision Making >Physicians' attitudes towards ePrescribing – evaluation of a Swedish full-scale implementation
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Physicians' attitudes towards ePrescribing – evaluation of a Swedish full-scale implementation

机译：医师对电子处方的态度–评估瑞典的全面实施

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Background The penetration rate of Electronic Health Record (EHR) systems in health care is increasing. However, many different EHR-systems are used with varying ePrescription designs and functionalities. The aim of the present study was to evaluate experienced ePrescribers' attitudes towards ePrescribing for suggesting improvements. Methods Physicians (n = 431) from seven out of the 21 Swedish health care regions, using one of the six most widely implemented EHR-systems with integrated electronic prescribing modules, were recruited from primary care centers and hospital clinics of internal medicine, orthopaedics and surgery. The physicians received a web survey that comprised eight questions on background data and 19 items covering attitudes towards ePrescribing. Forty-two percent (n = 199) of the physicians answered the questionnaire; 90% (n = 180) of the respondents met the inclusion criteria and were included in the final analysis. Results A majority of the respondents regarded their EHR-system easy to use in general (81%), and for the prescribing of drugs (88%). Most respondents believed they were able to provide the patients better service by ePrescribing (92%), and regarded ePrescriptions to be time saving (91%) and to be safer (83%), compared to handwritten prescriptions. Some of the most frequently reported weaknesses were: not clearly displayed price of drugs (43%), complicated drug choice (21%), and the perception that it was possible to handle more than one patient at a time when ePrescribing (13%). Moreover, 62% reported a lack of receipt from the pharmacy after successful transmission of an ePrescription. Although a majority (73%) of the physicians reported that they were always or often checking the ePrescription a last time before transmitting, 25% declared that they were seldom or never doing a last check. The respondents suggested a number of improvements, among others, to simplify the drug choice and the cancellation of ePrescriptions. Conclusion The Swedish physicians in the group studied were generally satisfied with their specific EHR-system and with ePrescribing as such. However, identified weaknesses warrant improvements of the EHR-systems as well as of their implementation in the individual health care organisation.
机译：背景技术电子病历（EHR）系统在医疗保健中的渗透率正在提高。但是，许多不同的EHR系统用于不同的ePrescription设计和功能。本研究的目的是评估经验丰富的电子处方者对电子处方的建议改进态度。方法从瑞典的21个医疗保健地区中的7个（n = 431），使用六种最广泛实施的具有集成电子处方模块的EHR系统之一，从初级保健中心以及内科，骨科和骨科医院诊所招募手术。医生们收到了一份网络调查，其中包括关于背景数据的八个问题和涉及电子处方态度的19个项目。 42％（n = 199）的医生回答了问卷。 90％（n = 180）的受访者符合纳入标准，并被纳入最终分析。结果大多数受访者认为他们的EHR系统总体上易于使用（81％），并且易于开药（88％）。大多数受访者认为，通过手写电子处方（92％）可以为患者提供更好的服务，并且与手写处方相比，电子处方可以节省时间（91％）和更安全（83％）。一些最常报告的弱点是：药品价格未明确显示（43％），复杂的药物选择（21％）以及人们认为在进行电子处方时一次可以处理多名患者的感觉（13％） 。此外，有62％的人报告说，在成功传输电子处方后，没有从药店收到收据。尽管大多数（73％）的医生报告说，他们总是或经常在传输前最后一次检查电子处方，但仍有25％的医生声明他们很少或从未做过最后检查。受访者提出了许多改进措施，其中包括简化药物选择和取消电子处方的过程。结论研究组中的瑞典医师普遍对他们的特定EHR系统和电子处方非常满意。但是，已发现的弱点需要改进EHR系统及其在各个医疗保健组织中的实施。

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