Crucial Factors for the Acceptance of a Computerized National Medication List

W.O. Hackl; A. Hoerbst; G. Duftschmid; W. Gall; S. Janzek-Hawlat; M. Jung; K. Woertz; W. Dorda; E. Ammenwerth

doi:10.4338/ACI-2014-04-RA-0032

Applied Clinical Informatics, Table of Contents

Appl Clin Inform 2014; 05(02): 527-537
DOI: 10.4338/ACI-2014-04-RA-0032

Research Article – ehealth2014 special topic

Schattauer GmbH

Crucial Factors for the Acceptance of a Computerized National Medication List

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

W.O. Hackl

¹Institute of Health Informatics, UMIT-University of Health Sciences, Medical Informatics and Technology, Hall in Tirol, Austria

,

A. Hoerbst

²Research Division for eHealth and Telemedicine, UMIT, Hall in Tirol, Austria

,

G. Duftschmid

³Section for Medical Information Management and Imaging, Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Austria

,

W. Gall

³Section for Medical Information Management and Imaging, Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Austria

,

S. Janzek-Hawlat

³Section for Medical Information Management and Imaging, Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Austria

,

M. Jung

¹Institute of Health Informatics, UMIT-University of Health Sciences, Medical Informatics and Technology, Hall in Tirol, Austria

,

K. Woertz

¹Institute of Health Informatics, UMIT-University of Health Sciences, Medical Informatics and Technology, Hall in Tirol, Austria

,

W. Dorda

³Section for Medical Information Management and Imaging, Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Austria

,

E. Ammenwerth

¹Institute of Health Informatics, UMIT-University of Health Sciences, Medical Informatics and Technology, Hall in Tirol, Austria

› Author Affiliations

Abstract

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.

Keywords

Evaluation studies - medical order entry systems - prescription - questionnaire

Full Text

References

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