A nationwide computerized patient medication history: Evaluation of the Austrian pilot project “e-Medikation”

Ammenwerth, Elske; Duftschmid, Georg; Gall, Walter; Hackl, Werner O.; Hoerbst, Alexander; Janzek-Hawlat, Stefan; Jeske, Martina; Jung, Martin; Woertz, Klemens; Dorda, Wolfgang

doi:10.1016/j.ijmedinf.2014.06.004

Cited by 29 publications

(18 citation statements)

References 47 publications

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“…All of these countries were members of the EPSOS project (except Cyprus and Latvia), and each has a national strategy for ePrescribing (except Luxembourg). Most have national projects and pilots underway but delays in these projects have been the common experience due to legal, organisational and technical problems 61,82,92. Scalability has also been a challenge, for example, in Italy where progress has been steady in the Lombardy region with a project that started in 2000,42 and plans are now in train to scale this project to the national level.…”

Section: Discussionmentioning

confidence: 99%

National Health Models and the Adoption of E-Health and E-Prescribing in Primary Care – New Evidence from Europe

Brennan

McElligott²,

Power³

2015

jhi

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Objective Recent research from the European Commission (EC) suggests that the development and adoption of eHealth in primary care is significantly influenced by the context of the national health model in operation. This research identified three national health models in Europe at this time -the National Health Service (NHS) model, the social insurance system (SIS) model and the transition country (TC) model, and found a strong correlation between the NHS model and high adoption rates for eHealth. The objective of this study is to establish if there is a similar correlation in one specific application area -electronic prescribing (ePrescribing) in primary care. Methods A review of published literature from 2000 to 2014 was undertaken covering the relevant official publications of the European Union and national government as well as the academic literature. An analysis of the development and adoption of ePrescribing in Europe was extracted from these data. Results The adoption of ePrescribing in primary care has increased significantly in recent years and is now practised by approximately 32% of European general practitioners. National ePrescribing services are now firmly established in 11 countries, with pilot projects underway in most others. The highest adoption rates are in countries with the NHS model, concentrated in the Nordic area. The electronic transmission of prescriptions continues to pose a significant challenge, especially in SIS countries and TCs. Conclusions There is a strong correlation between the NHS model and high adoption rates for ePrescribing similar to the EC findings on the adoption of eHealth. It may be some time before many SIS countries and TCs reach the same adoption levels for ePrescribing and eHealth in primary care as most NHS countries.

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Section: Discussionmentioning

confidence: 99%

National Health Models and the Adoption of E-Health and E-Prescribing in Primary Care – New Evidence from Europe

Brennan

McElligott²,

Power³

2015

jhi

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“…Providers must also explore alternate methods of updating medication lists. Integrating pharmacy databases and health information exchange databases can greatly decrease the cost burden on providers [13,16].…”

Section: Implications For Practicementioning

confidence: 99%

“…More concerted efforts are needed to educate the patients of the benefits of patient portal and the clinical benefits of responding to secure message requests in a timely manner. However, limited patient engagement with eHealth services [4,16] and low health literacy constrain the level of responsibility that can be placed on patients in the medication reconciliation process. Our study had several limitations.…”

Section: Implications For Practicementioning

confidence: 99%

Using secure messaging to update medications list in ambulatory care setting

Raghu

Frey

Chang

et al. 2015

International Journal of Medical Informatics

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“…A prescription refers to the number of packages of a single drug prescribed to a specific patient, at a specific time, and from a specific HCP. Although in Austria, like in other countries, a positive attitude towards e-Health and e-Prescription exists in general [ 10 ], the planned e-Medikation system is controversially debated on the healthcare provider side (i.e., accountability, information overload, and usability) and on the patient side (i.e., security and data privacy concerns) [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of Shared Electronic Health Record Systems on Drug-Drug Interaction and Duplication Warning Detection

Rinner

Grossmann

Sauter

et al. 2015

BioMed Research International

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Shared electronic health records (EHRs) systems can offer a complete medication overview of the prescriptions of different health care providers. We use health claims data of more than 1 million Austrians in 2006 and 2007 with 27 million prescriptions to estimate the effect of shared EHR systems on drug-drug interaction (DDI) and duplication warnings detection and prevention. The Austria Codex and the ATC/DDD information were used as a knowledge base to detect possible DDIs. DDIs are categorized as severe, moderate, and minor interactions. In comparison to the current situation where only DDIs between drugs issued by a single health care provider can be checked, the number of warnings increases significantly if all drugs of a patient are checked: severe DDI warnings would be detected for 20% more persons, and the number of severe DDI warnings and duplication warnings would increase by 17%. We show that not only do shared EHR systems help to detect more patients with warnings but DDIs are also detected more frequently. Patient safety can be increased using shared EHR systems.

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A nationwide computerized patient medication history: Evaluation of the Austrian pilot project “e-Medikation”

Cited by 29 publications

References 47 publications

National Health Models and the Adoption of E-Health and E-Prescribing in Primary Care – New Evidence from Europe

National Health Models and the Adoption of E-Health and E-Prescribing in Primary Care – New Evidence from Europe

Using secure messaging to update medications list in ambulatory care setting

Effects of Shared Electronic Health Record Systems on Drug-Drug Interaction and Duplication Warning Detection

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