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- I know she focused on medical practitioners in her post but the value to the consumer is foremost to me. It improves adherence by eliminating lost paper scripts and saves the extra trip of going to the pharmacy to drop off the order and then having to return later to pick it up.Dec 26, 2012
- Great points Anneliz, the value to the consumer is the number one priority.Dec 26, 2012
- E-prescribing is not improving efficiency from my perspective as a physician. It certainly is a patient-centered service which makes it a necessary component of care today. Now instead of writing a paper prescription and giving it to a patient I'm also confirming that I'm sending the pain to the right pharmacy or waiting for the patient to decide which pharmacy I should send the prescription to -- not improving efficiency but is patient-centered.
In fairness, the director of marketing of an e-prescribing company might have a biased view. Claims of hours, dollars, and lives saved by simply using e-prescribing seem to be grandiose. Our EMR's e-prescribing alerts me that it doesn't know the maximum dose of physical therapy in geriatric patients -- that's neither helpful nor efficient.
Workflows are the source of efficiency, not tools. E-prescribing is a tool. I've seen this tool cause errors, too: prescriptions sent to the wrong pharmacy, prescriptions sent for the wrong patient, out of date formularies, alert fatigue and missed drug interactions.
Oddly, in my state, controlled substances cannot be sent electronically without an additional level of security. The prescriptions that could benefit most from electronic prescribing's security are still being written on paper because of the inefficiency of e-prescribing.
To be clear, I believe that e-prescribing is important but still in its infancy. I hope to see it mature.
The reasons to use e-prescribing right now are
2. Legible prescriptions
3. Portability of the medical record
It's not efficiency and savings.Dec 26, 2012
- If it really was patient-centric, it would allow the patient to see what was prescribed in the way the paper does so that any issues could be resolved on the spot (if you watch over the doc's shoulder you could catch some of this, but this is not standard). It would show the cost at various pharmacies and allow me (the patient) to pick up the most convenient pharmacy distance and cost-wise. It actually does not save the trip because the pharmacy expects me to call in for the med before filling it. As a patient I can just forget to pick up the meds just like I can lose the script.
It is not improving efficiency from my perspective as a patient either!Dec 28, 2012
- Very true!Dec 28, 2012