Regarding "Study outlines docs' eRx barriers":
E-prescribing is part of the Stage 1 requirements for meaningful use and our popular electronic health-record system vendors support it, at least with a fax server if not an XML message.
However, specialty practices like mine in general surgery have other conundrums not mentioned in this study. First, most of our patients are only seen for a few visits. Most of our drug-renewal requests are for pre-existing prescriptions written by patients' other providers. Many do not have a standard pharmacy, and we have to agree where to send any prescriptions and be sure that the patients know where to go. Over half of our own prescriptions are for narcotic analgesics and cannot be sent by fax, and the next most common are for antibiotics. If I am writing both, why would I send the antibiotic electronically and the analgesic by written prescription? I may have to if I am to meet my meaningful-use e-prescribing threshold.
Dr. James MhyrePartnerProliance SurgeonsKirkland, Wash.
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