Crucial Factors for the Acceptance of a Computerized National Medication List

被引：8

作者：

Hackl, W. O. ^{[1
]}

Hoerbst, A. ^{[2
]}

Duftschmid, G. ^{[3
]}

Gall, W. ^{[3
]}

Janzek-Hawlat, S. ^{[3
]}

Jung, M. ^{[1
]}

Woertz, K. ^{[1
]}

Dorda, W. ^{[3
]}

Ammenwerth, E. ^{[1
]}

机构：

[1] UMIT Univ Hlth Sci Med Informat & Technol, Inst Hlth Informat, A-6060 Hall In Tirol, Austria

[2] UMIT, Res Div eHealth & Telemed, Hall In Tirol, Austria

[3] Med Univ Vienna, Sect Med Informat Management & Imaging, Ctr Med Stat Informat & Intelligent Syst, Vienna, Austria

来源：

APPLIED CLINICAL INFORMATICS | 2014年 / 5卷 / 02期

关键词：

Evaluation studies; medical order entry systems; prescription; questionnaire; ELECTRONIC HEALTH RECORDS; ORDER ENTRY SYSTEMS; ADVERSE DRUG EVENTS; INFORMATION-TECHNOLOGY; USER ACCEPTANCE; PHYSICIANS; ATTITUDES; AUSTRIA; CARE; EXCHANGE;

D O I：

10.4338/ACI-2014-04-RA-0032

中图分类号：

R-058 [];

学科分类号：

摘要：

Objective: The objective of this paper is to present crucial factors among registered doctors and pharmacists for acceptance of the Austrian 'e-Medikation' system which is aimed at providing, on a national level, complete and recent information on all the medication that were prescribed or dispensed to a patient. Methods: As the accompanying formative evaluation study of the pilot project showed different overall acceptance rates among participating physicians and pharmacists, a decision tree analysis of 30 standardized survey items was performed to identify crucial acceptance factors. Results: For the physicians' group, only two items (fear of improper data use and satisfaction with software support) were crucial for overall e-Medikation acceptance. The analysis of the pharmacists' data resulted in five crucial factors primarily focusing on functional aspects and the perceived benefits of e-Medikation. Conclusion: The results indicate that the acceptance among physicians and pharmacists depends on quite different factors. This must be taken into account during the planned rollout of e-Medikation or of comparable products.

引用

页码：527 / 537

页数：11

共 27 条

[1]

Ammenwerth E, 2013, INT J MED INFO UNPUB

[2] The effect of electronic prescribing on medication errors and adverse drug events: A systematic review [J].

Ammenwerth, Elske ;

Schnell-Inderst, Petra ;

Machan, Christof ;

Siebert, Uwe .

JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2008, 15 (05) :585-600

[3] INCIDENCE OF ADVERSE DRUG EVENTS AND POTENTIAL ADVERSE DRUG EVENTS - IMPLICATIONS FOR PREVENTION [J].

BATES, DW ;

CULLEN, DJ ;

LAIRD, N ;

PETERSEN, LA ;

SMALL, SD ;

SERVI, D ;

LAFFEL, G ;

SWEITZER, BJ ;

SHEA, BF ;

HALLISEY, R ;

VANDERVLIET, M ;

NEMESKAL, R ;

LEAPE, LL .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1995, 274 (01) :29-34

[4]

Campion Thomas R Jr, 2012, AMIA Annu Symp Proc, V2012, P77

[5] PERCEIVED USEFULNESS, PERCEIVED EASE OF USE, AND USER ACCEPTANCE OF INFORMATION TECHNOLOGY [J].

DAVIS, FD .

MIS QUARTERLY, 1989, 13 (03) :319-340

[6]

De'ath G, 2000, ECOLOGY, V81, P3178, DOI 10.2307/177409

[7] The DeLone and McLean model of information systems success: a ten-year update [J].

DeLone, WH ;

McLean, ER .

JOURNAL OF MANAGEMENT INFORMATION SYSTEMS, 2003, 19 (04) :9-30

[8] Austria's path toward nationwide electronic health records [J].

Dorda, W. ;

Duftschmid, G. ;

Gerhold, L. ;

Gall, W. ;

Gambal, J. .

METHODS OF INFORMATION IN MEDICINE, 2008, 47 (02) :117-123

[9]

Dorda W, 2012, PILOT PROJECT E MEDI

[10]

Fuji Kevin T, 2011, Perspect Health Inf Manag, V8, p1d

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