The Barriers in Implementing Electronic Prescribing in The Health Care: a Systematic Review

Abstract

Medication error remain extremely common, and the health care system can do much more to prevent it. Electronic prescribing is increasingly being viewed by health care stakeholders as an important step toward improved medication safety, better management of medication costs, increased practice efficiency, and improved health care quality. However, the adoption of e-prescribing has been difficult to attain owing to numerous barriers throughout the industry. Even with all the benefits of e-prescribing, many providers and pharmacists remained hesitant about completely adopting an e-prescribing system. The main purpose of this study was to explore and to assess the barriers of electronic prescribing implementation. The methodology for this study followed the basic principles of a systematic review with PRISMA methode retrieved from online database PubMed using a keyword “barriers” OR “obstacles” AND “electronic prescribing” OR “electronic prescription” AND “implementation”. Finally 6 documents were selected by full text inclucion and assessed for eligibility. The result of the study are inefficiency, the low uptake of the physicians, the cost of implementing the electronic prescription, system errors and the privacy and legacy. The conclusion from the studies should that electronic prescribing implementation barriers those we divided into 2 groups : the user factors and the system factors of the electronic prescription. Vendors or the consultants to facilitate more adequately the adoption of e-prescribing by giving the physicians the free trial and provide evaluation and improvement according to the physicians' needs for the features in the e-prescription.

E-Prescribing: Benefit, Barrier, and Adopting Challenge in Electronic Prescribing

“…The use of different E-prescribing system at the different hospitals also become a barrier especially for physicians who works at multiple hospital would need even a bigger effort to understand and be able to use all of the systems correctly. This barrier in addition to the lack of user's understanding of E-prescribing benefits could reduce GP willingness to use the system which leads to an imperfect implementation 11 .…”

“…The vendor must prove to the user that the efficient use of E-prescribing is worth the cost they spent on the system so the cost problem won't become a barrier any longer. The vendor should also provide a free-trial E-prescribing software program so that the users who plan to use the system will be more motivated to adopt the system 11,17 .…”