Article Text
Abstract
Background and importance Success in the implementation of electronic prescription for standard treatments (RELE) at the level of specialised care depends largely on the acceptance by professionals to use the tool and its ease of use.
Aim and objectives The study aimed to find out the opinion of emergency physicians on the use of RELE after 1 year of implementation, to analyse the degree of acceptance and interest in its use, to know the advantages and to identify the weaknesses and barriers to its use.
Material and methods Qualitative, descriptive and cross-sectional research study, carried out by an opinion survey among the 52 attending physicians of the emergency department in January 2021. A structured questionnaire was developed with closed questions about the interest aroused, satisfaction, advantages, weaknesses and barriers found in the use of RELE and an open question about difficulties in handling the tool. Satisfaction was measured on a scale of 1–10 and advantages, weaknesses and barriers were assessed using a five-item Likert-type scale. A descriptive statistical analysis of the data obtained was carried out. The invitation to participate in the study and access to the questionnaire, available on Google Drive, was sent by WhatsApp mail group.
Results A response rate of 71.1% (37/52) was obtained. The mean interest in using RELE was 8.6/10 (95% CI 8.13 to 9.07) and overall satisfaction was 8.24 (95% CI 7.7 to 8.78). The most valued advantages were the possibility of consulting the patient’s therapeutic adherence (99%) and accessing full outpatient treatment, facilitating review of all the patient’s medication (99%). As regards barriers and weaknesses, 54% (20/37) of the physicians considered that RELE increases the bureaucratic burden and two physicians indicated that it generates greater attendance at the emergency room. However, only nine physicians (24%) considered that including a patient in RELE required too much time. The main difficulties in handling the application were access to the platform, the assignment of the diagnosis to the prescription, and the delay in attendance due to the inherent bureaucratic burden.
Conclusion and relevance Clinicians showed remarkable interest in using RELE and high satisfaction with how the tool works.
Conflict of interest No conflict of interest