Users’ Views Regarding Electronic Prescribing Implementation:  A Qualitative Case Study in A Private Hospital of Magelang City, Indonesia

Eulalia Puji Febri Kurniawati; Aris Widayati

doi:10.24071/jpsc.003078

Users’ Views Regarding Electronic Prescribing Implementation: A Qualitative Case Study in A Private Hospital of Magelang City, Indonesia

Eulalia Puji Febri Kurniawati⁽¹⁾, Aris Widayati^(2*),

(1) Faculty of Pharmacy, Sanata Dharma University
(2) Faculty of Pharmacy, Sanata Dharma University
(*) Corresponding Author

Abstract

The use of the Internet and digital system in a hospital named the Hospital Information System (HIS) has grown rapidly and remarkably, including in Indonesia. One of the HIS components is electronic prescribing (e-prescribing). Although the Indonesian government has mandated HIS in hospitals since 2011, successful implementation is not without challenges. Therefore, this study aimed to explore users' views regarding e-prescribing implementation through a case study in a private hospital in Magelang City, Indonesia. This study applied a qualitative approach. Participants were e-prescribing users who were selected purposively. Data were gathered using interviews. The Capability, Opportunity, Motivation, and Behavior (COM-B) model was used to structure the interview guideline. Data were transcribed verbatim and analyzed using a thematic approach. Twenty participants were interviewed. Five themes emerged through the interviews: self-reflection, perceived advantages, policy, capacity building, and quality assurance. The themes express optimism in implementing e-prescribing. Users are central to e-prescribing system acceptance, as is explained in the self-reflection and perceived advantages themes. Furthermore, top management plays a pivotal role in improving the capacity and ensuring system implementation quality. This study’s findings imply that the user, system, and organization play crucial roles in enhancing health care service quality through e-prescribing.

Keywords

digital user; e-health; e-prescribing; hospital information system; prescriber

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References

Abramson, E.L., Barrón, Y., Quaresimo, J., Kaushal, R., 2011. Electronic prescribing within an electronic health record reduces ambulatory prescribing errors. Joint Commission Journal on Quality and Patient Safety, 37(10), 470–478.

Ahmed, Z., Barber, N., Jani, Y., Garfield, S., Franklin, B.D., 2016. Economic impact of electronic prescribing in the hospital setting: a systematic review. International Journal of Medical Informatics, 88, 1–7.

Baysari, M.T., Lehnbom, E.C., Li, L., Hargreaves, A., Day, R.O., Westbrook, J.I., 2016. The effectiveness of information technology to improve antimicrobial prescribing in hospitals: a systematic review and meta-analysis. International Journal of Medical Informatics, 92, 15–34.

Bhavsar, G.P., Probst, J.C., Bennett, K.J., Hardin, J.W., Qureshi, Z., 2019. Community-level electronic prescribing and adverse drug event hospitalizations among older adults. Health Informatics Journal, 25(3), 661–675.

Davies, J., Pucher, P.H., Ibrahim, H., Stubbs, B., 2017. Impact of the introduction of electronic prescribing on staff perceptions of patient safety and organizational culture. Journal of Surgical Research, 212, 222–228.

De Jonge, V., Sint Nicolaas, J., Van Leerdam, M.E., Kuipers, E.J., 2011. Overview of the quality assurance movement in health care. Best Practice and Research: Clinical Gastroenterology, 25(3), 337–347.

DeLone, W.H., McLean, E.R., 2003. The DeLone and McLean model of information systems success: a ten-year update. Journal of Management Information Systems, 19(4), 9–30.

Devine, E.B., Williams, E.C., Martin, D.P., Sittig, D.F., Tarczy-Hornoch, P., Payne, T.H., Sullivan, S.D., 2010. Prescriber and staff perceptions of an electronic prescribing system in primary care: a qualitative assessment. BMC Medical Informatics and Decision Making, 10(72).

Dobrev, A., Jones, T., Stroetmann, K., Vatter, Y., Peng, K., 2009. Report on The socio-economic impact of interoperable electronic health record ( EHR ) and ePrescribing systems in Europe and beyond [WWW Document]. Synthesis,. URL https://www.scimp.scot.nhs.uk/wp-content/uploads/documents/ECS/EHRI_final_report_2009 (accessed 9.9.20).

Fennelly, O., Cunningham, C., Grogan, L., Cronin, H., O’Shea, C., Roche, M., Lawlor, F., O’Hare, N., 2020. Successfully implementing a national electronic health record: a rapid umbrella review. International Journal of Medical Informatics, 144.

Hagg, E., Dahinten, V.S., Currie, L.M., 2018. The emerging use of social media for health-related purposes in low and middle-income countries: a scoping review. International Journal of Medical Informatics, 115, 92–105.

Handayani, P.W., Hidayanto, A.N., Pinem, A.A., Hapsari, I.C., Sandhyaduhita, P.I., Budi, I., 2017. Acceptance model of a Hospital Information System. International Journal of Medical Informatics, 99, 11–28.

Kannry, J., 2011. Effect of E-prescribing systems on patient safety. Mount Sinai Journal of Medicine, 78, 827–833.

Kemenkes RI, 2013. Peraturan Menteri Kesehatan Republik Indonesia No. 82 Tahun 2013 tentang Sistem Informasi Manajemen Rumah Sakit.

Kilsdonk, E., Peute, L.W., Jaspers, M.W.M., 2017. Factors influencing implementation success of guideline-based clinical decision support systems: a systematic review and gaps analysis. International Journal of Medical Informatics, 98, 56–64.

Konduri, N., Aboagye-Nyame, F., Mabirizi, D., Hoppenworth, K., Kibria, M.G., Doumbia, S., Williams, L., Mazibuko, G., 2018. Digital health technologies to support access to medicines and pharmaceutical services in the achievement of sustainable development goals. Digital Health, 4(1–26).

Konduri, N., Bastos, L.G. V., Sawyer, K., Reciolino, L.F.A., 2017a. User experience analysis of an eHealth system for tuberculosis in resource-constrained settings: a nine-country comparison. International Journal of Medical Informatics, 102, 118–129.

Konduri, N., Sawyer, K., Nizova, N., 2017b. User experience analysis of e-TB Manager, a nationwide electronic tuberculosis recording and reporting system in Ukraine. ERJ open research, 3(2).

Korstjens, I., Moser, A., 2018. Series: Practical Guidance to Qualitative Research. Part 4: Trustworthiness and publishing. European Journal of General Practice, 24(1), 120–124.

Kuo, K.M., Liu, C.F., Talley, P.C., Pan, S.Y., 2018. Strategic improvement for quality and satisfaction of hospital information systems. Journal of Healthcare Engineering, 12.

Michie, S., van Stralen, M.M., West, R., 2011. The behaviour change wheel: Aa new method for characterising and designing behaviour change interventions. Implementation Science, 23(6), 42.

Page, N., Baysari, M.T., Westbrook, J.I., 2017. A systematic review of the effectiveness of interruptive medication prescribing alerts in hospital CPOE systems to change prescriber behavior and improve patient safety. International Journal of Medical Informatics, 105, 22–30.

Peek, S.T.M., Wouters, E.J.M., van Hoof, J., Luijkx, K.G., Boeije, H.R., Vrijhoef, H.J.M., 2014. Factors influencing acceptance of technology for aging in place: a systematic review. International Journal of Medical Informatics, 3(4), 235–248.

Urbach, N., Müller, B., 2012. The Updated DeLone and McLean Model of Information Systems Success, in: Dwivedi, Y., Wade, M., Schneberger, S. (Eds.), Information Systems Theory. Integrated Series in Information Systems. Springer, New York.

Widayati, A., Virginia, D.M., Heru, C.S., Fenty, F., Donowati, M.W., Christasani, P.D., Hartayu, T.S., Suhadi, R., Saini, B., Armour, C., 2018. Pharmacists’ views on the development of asthma pharmaceutical care model in Indonesia: a needs analysis study. Research in Social and Administrative Pharmacy, 14, 1172–1179.

DOI: https://doi.org/10.24071/jpsc.003078