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Crucial Factors for the Acceptance of a Computerized National Medication List

Journal: Applied Clinical Informatics
ISSN: 1869-0327
DOI: http://dx.doi.org/10.4338/ACI-2014-04-RA-0032
Issue: Vol. 5: Issue 2 2014
Pages: 527-537

Crucial Factors for the Acceptance of a Computerized National Medication List

Insights into Findings from the Evaluation of the Austrian e-Medikation Pilot

Research Article

Special Topic: eHealth2014

W. O. Hackl (1), A. Hoerbst (2), G. Duftschmid (3), W. Gall (3), S. Janzek-Hawlat (3), M. Jung (1), K. Woertz (1), W. Dorda (3), E. Ammenwerth (1)

(1) Institute of Health Informatics, UMIT-University of Health Sciences, Medical Informatics and Technology, Hall in Tirol, Austria; (2) Research Division for eHealth and Telemedicine, UMIT, Hall in Tirol, Austria; (3) Section for Medical Information Management and Imaging, Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Austria

Keywords

Questionnaire, evaluation studies, Medical order entry systems, prescription

Summary

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.

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