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Patient Perceptions Regarding Electronic Prescriptions: Is the Geriatric Patient Ready?

2007; Wiley; Volume: 55; Issue: 8 Linguagem: Inglês

10.1111/j.1532-5415.2007.01248.x

1532-5415

Kate L. Lapane, Catherine Dubé, Karen L. Schneider, Brian J. Quilliam,

Medication Adherence and Compliance

OBJECTIVES: To evaluate the extent to which electronic prescribing (e‐prescribing) alters communication about medication use between geriatric patients and their clinicians, as well as geriatric patients' perceptions regarding e‐prescribing. DESIGN: Cross‐sectional. SETTING: Thirty‐five physician practices in six states using e‐prescribing. PARTICIPANTS: Convenience sample of patients (n=244) aged 65 and older. MEASUREMENTS: Patient perceptions regarding discussions with their doctors regarding medication costs, adherence, and potential side effects, as well as expectations about and satisfaction with e‐prescribing collected on a voluntary survey. RESULTS: Of patients at e‐prescribing practices, 53% reported ever receiving e‐prescriptions. Patients who reported having e‐prescriptions were more likely to feel favorably toward the electronic method, whereas most of those who reported never receiving e‐prescriptions preferred paper prescriptions. Patients reporting use of e‐prescriptions were somewhat more likely to have adherence discussions often or most of the time than patients who had not used e‐prescriptions. Regardless of e‐prescribing experience, few patients reported that they would tell their physicians if they did not want a drug or did not plan to pick up the drug from the pharmacy. CONCLUSION: E‐prescribing technology solutions may provide opportunities for earlier and enhanced communication between geriatric patients and their clinicians; geriatric patients may require more education to appreciate the value of e‐prescribing.