[Perceptions on electronic prescribing by primary care physicians in madrid healthcare service]

Abstract

Objective: To investigate the opinion of Primary Care physicians regarding electronic prescribing.

Methods: Descriptive study by means of a questionnaire sent to 527 primary care physicians.

Period: June 2014. The questionnaire included closed questions about interest shown, satisfaction, benefits, weaknesses, and barriers, and one open question about difficulties, all of them referred to electronic prescribing. Satisfaction was measured using 1-10 scale, and benefits, weaknesses, and barriers were evaluated by a 5-ítems Likert scale. Interest was measured using both methods. The questionnaire was sent by e-mail for on line response through Google Drive® tool. A descriptive statistical analysis was performed.

Results: The response rate was 47% (248/527). Interest shown was 8.7 (95% CI; 8.5-8.9) and satisfaction was 7.9 (95% CI; 7.8-8). The great majority 87.9% (95% CI; 83.8-92%) of respondents used electronic prescribing where possible. Most reported benefits were: 73.4% (95% CI; 67.8-78.9%) of respondents considered that electronic prescribing facilitated medication review, and 59.3% (95% CI; 53.1-65.4) of them felt that it reduced bureaucratic burden. Among the observed weaknesses, they highlighted the following: 87.9% (95% CI; 83.8-92%) of respondents believed specialist care physicians should also be able to use electronic prescribing. Concerning to barriers: 30.2% (95% CI; 24.5-36%) of respondents think that entering a patient into the electronic prescribing system takes too much time, and 4% (95% CI; 1.6-6.5%) of them perceived the application as difficult to use.

Conclusions: Physicians showed a notable interest in using electronic prescribing and high satisfaction with the application performance.

Keywords: Actitud del personal de salud; Análisis cualitativo; Atención primaria de salud; Attitudes of health personnel; Calidad asistencial; Cuestionarios; Electronic prescribing; Prescripción electrónica; Primary Health care; Qualitative research; Quality of health care; Questionnaires.