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Overcoming cost concerns: incentives urged to promote adoption of electronic prescribing.(Practice Trends)

OB GYN News

| September 01, 2004 | Schneider, Mary Ellen | COPYRIGHT 2004 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

FORT LAUDERDALE, FLA. -- Reimbursement for the use of electronic prescribing programs is needed to spur faster adoption, according to a report from the Electronic Prescribing Project of the eHealth Initiative.

"Doctors are concerned about the cost of buying and installing a system," Dr. Jonathan Teich said at a meeting sponsored by the Medical Records Institute.

The Electronic Prescribing Project was launched in 2003 in an effort to rapidly expand the adoption of electronic prescribing. The project, chaired by Dr. Teich, found that even highly effective electronic prescribing tools would have a short-term impact on expenses. And while there might be big, systemic financial benefits down the road, those benefits are not generally passed on to the physician.

About 10%-16% of U.S. physicians use electronic prescribing in any form, said Dr. Teich, chief medical officer for HEALTHvision, a health care Internet company.

Pharmacists, payers, drug companies, and patients all want this technology to be implemented, but it's been tougher from the physician perspective. Physicians are concerned about the costs of an electronic prescribing system and the time it takes to review the automated warnings about drugs or drug reactions.

Electronic prescribing isn't considered a standard of practice either. "There's the [attitude of] 'I don't have to and it's not saving me money or time so why do I do it,'" said Dr. Teich, also of Harvard Medical School, Boston.

The Electronic Prescribing Project recommended reimbursement for the utilization of electronic prescribing or for the information processed, the development of pay-for-performance programs, third-party incentives such as defrayed costs, and legislation to provide direct incentives for the use of electronic prescribing.

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