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First published June 23, 2006 as JAMIA PrePrint; doi:10.1197/jamia.M2041
Journal of the American Medical Informatics Association 2006;13(5):470-475
© 2006 American Medical Informatics Association

A more recent version of this article appeared on September 1, 2006
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Submitted on December 21, 2005
Accepted on June 6, 2006

e-Prescribing, efficiency, quality: lessons from the computerization of UK family practice

Charles P. Schade MD, MPH1*, Frank M. Sullivan PhD2, Simon de Lusignan MSc, MD3, and Jean Madeley MB4

Affiliation of the authors: 1 West Virginia Medical Institute, Charleston, WV; 2 Health Informatics Centre, Division of Community Health Sciences, University of Dundee, Nethergate, Dundee, Scotland, UK ; 3 Primary Care Informatics, Division of Community Health Sciences, St George's Hospital Medical School, University of London, London ; 4 Manor Surgery, Beeston, Nottingham England

* To whom correspondence should be addressed.

Nearly all general practice physicians (GPs) in the United Kingdom (UK) have electronic health record (EHR) systems in their practices compared perhaps 15% of primary care physicians in the United States (US). Based on interviews of 13 general GPs and review of current literature, the authors argue that the historical experience of widespread electronic health record uptake in the UK provides insight into features that might motivate broad adoption in the US. These features include electronic prescribing, improved quality and consistency of care, practice efficiencies that have both timesaving and revenue generating effects, and potential shielding from malpractice claims.




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W. Hollingworth, E. B. Devine, R. N. Hansen, N. M. Lawless, B. A. Comstock, J. L. Wilson-Norton, K. L. Tharp, and S. D. Sullivan
The Impact of e-Prescribing on Prescriber and Staff Time in Ambulatory Care Clinics: A Time Motion Study
J. Am. Med. Inform. Assoc., November 1, 2007; 14(6): 722 - 730.
[Abstract] [Full Text] [PDF]


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