{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T04:17:54Z","timestamp":1773289074762,"version":"3.50.1"},"reference-count":37,"publisher":"Oxford University Press (OUP)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Background and objective The objective of this study was to identify physicians\u2019 and pharmacists\u2019 perceptions of the challenges and benefits to implementing a nationwide electronic prescribing network linking medical clinics and community pharmacies in Quebec, Canada.<\/jats:p><jats:p>Methods Forty-nine people (12 general practitioners, 2 managers, 33 community pharmacists, and 2 pharmacy staff members) from 40 points of care (10 primary care clinics (42% of all the connected sites) and 30 community pharmacies (44%)) were interviewed in 2013. Verbatim transcripts were analyzed using thematic analysis.<\/jats:p><jats:p>Results A low level of network use was observed. Most pharmacists processed e-prescriptions by manual entry instead of importing electronically. They reported concerns about potential errors generated by importing e-prescriptions, mainly due to the instruction field. Paper prescriptions were still perceived as the best means for safe and effective processing of prescriptions in pharmacies. Speed issues when validating e-prescription messages were seen as an irritant by physicians, and resulted in several of them abandoning transmission. Displaying the medications based on the dispensing data was identified as the main obstacle to meaningful use of medication histories.<\/jats:p><jats:p>Conclusions Numerous challenges impeded realization of the benefits of this network. Standards for e-prescription messages, as well as rules for message validation, need to be improved to increase the potential benefits of e-prescriptions. Standard drug terminology including the concept of clinical medication should be developed, and the implementation of rules in local applications to allow for the classification and reconciliation of medication lists from dispensing data should be made a priority.<\/jats:p>","DOI":"10.1093\/jamia\/ocv026","type":"journal-article","created":{"date-parts":[[2015,4,17]],"date-time":"2015-04-17T00:41:42Z","timestamp":1429231302000},"page":"838-848","source":"Crossref","is-referenced-by-count":17,"title":["Challenges to the implementation of a nationwide electronic prescribing network in primary care: a qualitative study of users\u2019 perceptions"],"prefix":"10.1093","volume":"22","author":[{"given":"Aude","family":"Motulsky","sequence":"first","affiliation":[{"name":"Clinical and Health Informatics Research Group, Faculty of Medicine, McGill University, Montreal, Canada"}]},{"given":"Claude","family":"Sicotte","sequence":"additional","affiliation":[{"name":"Department of Health Management, Universit\u00e9 de Montr\u00e9al, Montreal, Canada"}]},{"given":"Marie-Pierre","family":"Gagnon","sequence":"additional","affiliation":[{"name":"Faculty of Nursing Sciences, Universit\u00e9 Laval, Quebec City, Canada"},{"name":"Public Health and Practice-Changing Research, CHU de Qu\u00e9bec Research Centre, Quebec City, Canada"}]},{"given":"Julie","family":"Payne-Gagnon","sequence":"additional","affiliation":[{"name":"Public Health and Practice-Changing Research, CHU de Qu\u00e9bec Research Centre, Quebec City, Canada"}]},{"given":"Julie-Alexandra","family":"Langu\u00e9-Dub\u00e9","sequence":"additional","affiliation":[{"name":"Department of Health Management, Universit\u00e9 de Montr\u00e9al, Montreal, Canada"}]},{"given":"Christian M","family":"Rochefort","sequence":"additional","affiliation":[{"name":"Clinical and Health Informatics Research Group, Faculty of Medicine, McGill University, Montreal, Canada"},{"name":"Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Canada."}]},{"given":"Robyn","family":"Tamblyn","sequence":"additional","affiliation":[{"name":"Clinical and Health Informatics Research Group, Faculty of Medicine, McGill University, Montreal, Canada"},{"name":"Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Canada."}]}],"member":"286","published-online":{"date-parts":[[2015,4,16]]},"reference":[{"key":"2020110613011520000_ocv026-B1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ijmedinf.2013.10.002","article-title":"User experiences with different regional health information exchange systems in Finland","volume":"83","author":"Hypponen","year":"2014","journal-title":"Int J Med Inf."},{"key":"2020110613011520000_ocv026-B2","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1186\/1472-6947-12-42","article-title":"Assessing accuracy of an electronic provincial medication 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