Health Affairs

Health Affairs, 26, no. 3 (2007): w393-w404 (Published online 3 April 2007) doi: 10.1377/hlthaff.26.3.w393 © 2007 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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Physicians’ Experiences Using Commercial E-Prescribing Systems

Joy M. Grossman, Anneliese Gerland, Marie C. Reed and Cheryl Fahlman

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.

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