Crucial Factors for the Acceptance of a Computerized National Medication List

• Published in: Applied clinical informatics 2014-02, Vol.5 (2), p.527-537
• Main Authors: Hackl, W.O., Hoerbst, A., Duftschmid, G., Gall, W., Janzek-Hawlat, S., Jung, M., Woertz, K., Dorda, W., Ammenwerth, E.
• Format: Article
• Language: English
• Subjects: ehealth2014 special topic; Research Article
• ISSN: 1869-0327
• DOI: 10.4338/ACI-2014-04-RA-0032

Summary Objective: The objective of this paper is to present crucial factors among registered doctors and pharmacists for acceptance of the Austrian ’e-Medikation’ system which is aimed at providing, on a national level, complete and recent information on all the medication that were prescribed or dispensed to a patient. Methods: As the accompanying formative evaluation study of the pilot project showed different overall acceptance rates among participating physicians and pharmacists, a decision tree analysis of 30 standardized survey items was performed to identify crucial acceptance factors. Results: For the physicians’ group, only two items (fear of improper data use and satisfaction with software support) were crucial for overall e-Medikation acceptance. The analysis of the pharmacists’ data resulted in five crucial factors primarily focusing on functional aspects and the perceived benefits of e-Medikation. Conclusion: The results indicate that the acceptance among physicians and pharmacists depends on quite different factors. This must be taken into account during the planned rollout of e-Medikation or of comparable products.