Dispatch From The Non-Hitech-Incented Health It World: Electronic Medication History Adoption And Utilization

Keywords

e-prescribing; Electronic health records; Health information technology; Medication history

Abstract

Objective To document national trends of electronic medication history use in the ambulatory setting and describe the characteristics and predicting factors of providers who regularly use medication history transaction capabilities through their e-prescribing systems. Materials and Methods The study used provider-initiated medication history data requests, electronically sent over an e-prescribing network from all 50 states and the District of Columbia. Data from 138,000 prescribers were evaluated using multivariate analyses from 2007 to 2013. Results Medication history use showed significant growth, increasing from 8 to 850 million history requests during the study period. Prescribers on the network for <5 years had a lower likelihood of requests than those on the network for 5 or more years. Although descriptive analyses showed that prescribers in rural areas were alongside e-prescribing, and requesting medication histories more often than those in large and small cities, these findings were not significant in multivariate analyses. Providers in orthopedic surgery and internal medicine had a higher likelihood of more requests than family practice prescribers, with 12% and 7% higher likelihood, respectively. Discussion Early adopters of e-prescribing have remained medication history users and have continually increased their volume of requests for medication histories. Conclusion Despite the fact that the use of medication histories through e-prescribing networks in the ambulatory care setting has not been encouraged through federal incentive programs, there has been substantial growth in the use of medication histories offered through e-prescribing networks.

Publication Date

5-1-2016

Publication Title

Journal of the American Medical Informatics Association

Volume

23

Issue

3

Number of Pages

562-569

Document Type

Article

Personal Identifier

scopus

DOI Link

https://doi.org/10.1093/jamia/ocv151

Socpus ID

84979037032 (Scopus)

Source API URL

https://api.elsevier.com/content/abstract/scopus_id/84979037032

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