How Physicians Renew Electronic Prescriptions in Primary Care : Therapeutic Decision or Technical Task?

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Oravainen , T , Airaksinen , M , Hannula , K & Kvarnström , K 2021 , ' How Physicians Renew Electronic Prescriptions in Primary Care : Therapeutic Decision or Technical Task? ' , International Journal of Environmental Research and Public Health , vol. 18 , no. 20 , 10937 . https://doi.org/10.3390/ijerph182010937

Title: How Physicians Renew Electronic Prescriptions in Primary Care : Therapeutic Decision or Technical Task?
Author: Oravainen, Taina; Airaksinen, Marja; Hannula, Kaija; Kvarnström, Kirsi
Other contributor: University of Helsinki, Division of Pharmacology and Pharmacotherapy
University of Helsinki, HUS Pharmacy




Date: 2021-10
Language: eng
Number of pages: 14
Belongs to series: International Journal of Environmental Research and Public Health
ISSN: 1661-7827
DOI: https://doi.org/10.3390/ijerph182010937
URI: http://hdl.handle.net/10138/336495
Abstract: In long-term pharmacotherapies, the renewal of prescriptions is part of the medication use process. Although the majority of medicines are used with renewed prescriptions, little research has focused on renewal practices. The aim of this study was to explore current renewal practices from a primary care physician's perspective to identify system-based challenges and development needs related to the renewal practices. This qualitative study was conducted in two phases in public primary health care centres of Kirkkonummi, Finland. First, five physicians were shadowed on-site while they renewed prescriptions. The findings of the shadowing phase were further discussed in two focus group discussions with seven other physicians than in the shadowing phase. Inductive content analysis was used for data analysis utilizing Reason's risk management theory as a theoretical framework. Due to problems in the renewal process, including impractical information systems, a lack of reconciled medication lists, and a lack of time allocated for renewing prescriptions, physicians felt that monitoring and reviewing each patients' medications for renewal was complicated. Therefore, they felt that renewing, at times, became a technical task rather than a therapeutic decision. The physicians suggested information system improvements, enhanced interprofessional cooperation, and patient involvement as strategies to ensure rational pharmacotherapy and patient safety in the renewal of prescription medicines.
Subject: electronic prescription
e-prescription
prescribing
optimizing prescribing
renewing
medication safety
medication management
population health
outpatient
primary care
3142 Public health care science, environmental and occupational health
317 Pharmacy
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