Which physicians have access to electronic prescribing and which ones end up using it?

@article{citeulike:3172355, abstract = {Objectives This study examines the availability of electronic prescription and the utilization of e-prescribing by physicians in the US.Methods Nationally representative data from the 2004-2005 Community Tracking Study Physician Survey were used to identify which subgroups of physicians have access to e-prescribing technology and which subgroups are using this technology more or less intensively. Exhaustive Chi-squared Automatic Interaction Detection (CHAID) was employed for statistical data segmentation.Results Results indicate that the rapidly increasing adoption of electronic prescription is diminished by relatively low physician utilization. E-prescription utilization was segmented among practice size and type. There were also differences in e-prescription use by age, gender, and ethnicity/race in some subgroups. Actual use of e-prescription was very low for female physicians in surgical specialties, psychiatry, and obstetrics/gynecology, and for Hispanic physicians in pediatrics, internal medicine, and family/general practice in solo/two physician practices, medical schools, and hospitals.Conclusions Insights from segmentation analyses could be used to identify adoption barriers and to develop targeted interventions to accelerate the implementation of e-prescription systems in physician practices.}, author = {Pag\'{a}n, Jos\'{e} A. and Pratt, William R. and Sun, Jun }, citeulike-article-id = {3172355}, doi = {http://dx.doi.org/10.1016/j.healthpol.2008.07.002}, journal = {Health Policy}, keywords = {adoption, ehealth, eprescribing}, posted-at = {2008-08-29 13:57:59}, priority = {2}, title = {Which physicians have access to electronic prescribing and which ones end up using it?}, url = {http://dx.doi.org/10.1016/j.healthpol.2008.07.002}, volume = {In Press, Corrected Proof} }

TY - JOUR ID - citeulike:3172355 L3 - citeulike-article-id:3172355 N2 - Objectives This study examines the availability of electronic prescription and the utilization of e-prescribing by physicians in the US.Methods Nationally representative data from the 2004-2005 Community Tracking Study Physician Survey were used to identify which subgroups of physicians have access to e-prescribing technology and which subgroups are using this technology more or less intensively. Exhaustive Chi-squared Automatic Interaction Detection (CHAID) was employed for statistical data segmentation.Results Results indicate that the rapidly increasing adoption of electronic prescription is diminished by relatively low physician utilization. E-prescription utilization was segmented among practice size and type. There were also differences in e-prescription use by age, gender, and ethnicity/race in some subgroups. Actual use of e-prescription was very low for female physicians in surgical specialties, psychiatry, and obstetrics/gynecology, and for Hispanic physicians in pediatrics, internal medicine, and family/general practice in solo/two physician practices, medical schools, and hospitals.Conclusions Insights from segmentation analyses could be used to identify adoption barriers and to develop targeted interventions to accelerate the implementation of e-prescription systems in physician practices. JF - Health Policy TI - Which physicians have access to electronic prescribing and which ones end up using it? VL - In Press, Corrected Proof KW - adoption KW - ehealth KW - eprescribing AU - Pagán, José AU - Pratt, William AU - Sun, Jun UR - http://dx.doi.org/10.1016/j.healthpol.2008.07.002 ER -