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Cited by 137Electronic Health Records SystemsPharmaceutical Practices and Patient OutcomesTechnology and Human Factors in Education and Health

The Development and Evaluation of an Integrated Electronic Prescribing and Drug Management System for Primary Care

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Tamblyn, R., Huang, A., Kawasumi, Y., Bartlett, G., Grad, R., Jacques, A., Dawes, M., Abrahamowicz, M. +5 more·2006·Journal of the American Medical Informatics Association
DOI 10.1197/jamia.m1887PMC PMC1447542
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Abstract

OBJECTIVE: To develop and evaluate the acceptability and use of an integrated electronic prescribing and drug management system (MOXXI) for primary care physicians. DESIGN: A 20-month follow-up study of MOXXI (Medical Office of the XXIst Century) implementation in 28 primary care physicians and 13,515 consenting patients. MEASUREMENT: MOXXI was developed to enhance patient safety by integrating patient demographics, retrieving active drugs from pharmacy systems, generating an automated problem list, and providing electronic prescription, stop order, automated prescribing problem alerts, and compliance monitoring functions. Evaluation of technical performance, acceptability, and use was conducted using audit trails, questionnaires, standardized tasks, and information from comprehensive health insurance databases. RESULTS: Perceived improvements in continuity of care and professional autonomy were associated with physicians' expected use of MOXXI. Physician speed in using MOXXI improved substantially in the first three months; however, only the represcribing function was faster using MOXXI than by handwritten prescription. Physicians wrote electronic prescriptions in 36.9 per 100 visits and reviewed the patient's drug profile in 12.6 per 100 visits. Physicians rated printed prescriptions, the current drug list, and the represcribing function as the most beneficial aspects of the system. Physicians were more likely to use the drug profile for patients who used more medication, made more emergency department visits, had more prescribing physicians, and lower continuity of care. CONCLUSION: Primary care physicians believed an integrated electronic prescribing and drug management system would improve continuity of care, and they were more likely to use the system for patients with more complex, fragmented care.

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  • Within studies applying TAM, factors influential to health care providers' acceptance of eHealth included perceived usefulness and needs, perceived ease of use, and all facilitating or inhibiting conditions.

    “Within these studies [25,29,41,42,75,77,79,81,83-85,87,88,102], the factors influential to health care providers’ acceptance of eHealth included their perceived usefulness and needs, perceived ease of use, and all of the facilitating or inhibiting conditions.”

    From Health Care Provider Adoption of eHealth: Systematic Literature Review (2013) · cites this paper as [42]

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Research works printed but not linked: 2

  1. [23]Tamblyn RM, McLeod PJ, Abrahamowicz M, Laprise R. Do too many cooks spoil the broth? Multiple physician involvement in medical management and inappropriate prescribing in the elderly. CMAJ. 1996;154:1177–84. [PMC free article] [PubMed] [Google Scholar]
  2. [51]Mackinnon NJ, Hepler CD. Preventable drug-related morbidity in older adults 1. Indicator development. J Manag Care Pharm. 2002;8:365–71. [DOI] [PubMed] [Google Scholar]

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Authors
Tamblyn, R., Huang, A., Kawasumi, Y., Bartlett, G., Grad, R., Jacques, A., Dawes, M., Abrahamowicz, M., Perreault, R., Taylor, L., Winslade, N., Poissant, L., & Pinsonneault, A.
Affiliations
McGill University (CA)
Corresponding author
Tamblyn, R.
ORCID
Venue
Journal of the American Medical Informatics Association
Publisher
Oxford University Press (OUP)
Published
2006-03-01
Volume
13
Issue
2
Pages
148-159
ISSN
  • 1067-5027 (ISSN-L)
  • 1527-974X
DOI
10.1197/jamia.m1887
PMC
PMC1447542
OpenAlex
W124914759
Cited by
137
References
56
Citations by year
2026: 3 · 2025: 4 · 2024: 5 · 2023: 4 · 2022: 4 · 2021: 6 · 2020: 1 · 2019: 7 · 2018: 5 · 2017: 4 · 2016: 5 · 2015: 4 · 2014: 5 · 2013: 13 · 2012: 11
FWCI
15.37
Type
journal article
Language
en
Open access
Locations
  • Journal of the American Medical Informatics Association (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
  • Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Technology and Human Factors in Education and Health
Keywords
electronic prescribing, drug management system, primary care, patient safety, continuity of care, physician acceptability, drug profile, professional autonomy, care fragmentation
MeSH terms
Attitude of Health Personnel, Continuity of Patient Care, Drug Therapy, Computer-Assisted, Follow-Up Studies, Humans, Medication Errors, Drug Prescriptions, Primary Health Care, Quebec, Surveys and Questionnaires, User-Computer Interface, Clinical Pharmacy Information Systems, Systems Integration, Medical Order Entry Systems

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