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Factors Related to Physicians’ Adoption of Electronic Prescribing: Results From a National Survey

Department of Health Policy, Jefferson Medical College, Philadelphia, Pennsylvania, laura.pizzi{at}jefferson.edu

Dong-Churl Suh, MBA, PhD

Ernest Mario School of Pharmacy, Rutgers, The State University of New Jersey, and School of Public Health, University of Medicine and Dentistry of New Jersey, Piscataway

Joseph Barone, PharmD

Ernest Mario School of Pharmacy, Rutgers, The State University of New Jersey, Piscataway

David B. Nash, MD, MBA

Department of Health Policy, Jefferson Medical College, Philadelphia, Pennsylvania

Electronic prescribing (E-RX) is a component of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA). The objective of this study was to identify factors related to physicians’ adoption of E-RX for outpatients. This study employed an electronic survey of US physicians who subscribe to the Physicians Online Internet service. Electronic prescribers were compared to traditional prescribers in terms of demographics, practice type and location, technology use, and beliefs about E-RX. A total of 1104 physicians responded, 19% of whom prescribed electronically. Electronic prescribers were more likely to be generalists practicing in academic or publicly funded centers, have fewer years in practice, and work in technology-equipped offices. They also held different beliefs versus traditional prescribers in terms of E-RX limitations and its potential to improve medication safety and prescribing efficiency. In addition to financial incentives established by MMA, adoption can be stimulated by improvements in the technology and on organizational commitment.

Key Words: medication errors • medical errors • physican’s practice patterns • prescriptions • drugs • clinical pharmacy information systems

American Journal of Medical Quality, Vol. 20, No. 1, 22-32 (2005)
DOI: 10.1177/1062860604273775


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