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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
1   Institute of Health Informatics, UMIT-University of Health Sciences, Medical Informatics and Technology, Hall in Tirol, Austria
,
A. Hoerbst
2   Research Division for eHealth and Telemedicine, UMIT, Hall in Tirol, Austria
,
G. Duftschmid
3   Section for Medical Information Management and Imaging, Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Austria
,
W. Gall
3   Section for Medical Information Management and Imaging, Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Austria
,
S. Janzek-Hawlat
3   Section for Medical Information Management and Imaging, Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Austria
,
M. Jung
1   Institute of Health Informatics, UMIT-University of Health Sciences, Medical Informatics and Technology, Hall in Tirol, Austria
,
K. Woertz
1   Institute of Health Informatics, UMIT-University of Health Sciences, Medical Informatics and Technology, Hall in Tirol, Austria
,
W. Dorda
3   Section for Medical Information Management and Imaging, Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Austria
,
E. Ammenwerth
1   Institute of Health Informatics, UMIT-University of Health Sciences, Medical Informatics and Technology, Hall in Tirol, Austria
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Publikationsverlauf

Received: 07. April 2014

Accepted: 30. April 2014

Publikationsdatum:
21. Dezember 2017 (online)

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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
 

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