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Which physicians have access to electronic prescribing and which ones end up using it?

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  • Pagn, Jos A.
  • Pratt, William R.
  • Sun, Jun

Abstract

Objectives This study examines the availability of electronic prescription and the utilization of e-prescribing by physicians in the US.Methods Nationally representative data from the 2004-2005 Community Tracking Study Physician Survey were used to identify which subgroups of physicians have access to e-prescribing technology and which subgroups are using this technology more or less intensively. Exhaustive Chi-squared Automatic Interaction Detection (CHAID) was employed for statistical data segmentation.Results Results indicate that the rapidly increasing adoption of electronic prescription is diminished by relatively low physician utilization. E-prescription utilization was segmented among practice size and type. There were also differences in e-prescription use by age, gender, and ethnicity/race in some subgroups. Actual use of e-prescription was very low for female physicians in surgical specialties, psychiatry, and obstetrics/gynecology, and for Hispanic physicians in pediatrics, internal medicine, and family/general practice in solo/two physician practices, medical schools, and hospitals.Conclusions Insights from segmentation analyses could be used to identify adoption barriers and to develop targeted interventions to accelerate the implementation of e-prescription systems in physician practices.

Suggested Citation

  • Pagn, Jos A. & Pratt, William R. & Sun, Jun, 2009. "Which physicians have access to electronic prescribing and which ones end up using it?," Health Policy, Elsevier, vol. 89(3), pages 288-294, March.
    • Handle: RePEc:eee:hepoli:v:89:y:2009:i:3:p:288-294
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