Physicians
know just because they give patients a prescription, that doesn't mean
medication will take them correctly -- or at all. There are a number of reasons
for poor patient compliance and the latest generation of EMR software addresses
many of these problems.
The Problem of Non-Compliance
It is hard
to treat a patient who won't take prescribed medication. It may not be that the
patient is intentionally being difficult. Often there are other reasons
involved.
Patients
may stop medication because they feel better, not understanding that to stay
better they need to keep taking the pills. A patient might not have time to
wait at the pharmacy today so plans to pick up the prescription tomorrow, but
then forgets or gets busy and never gets around to it. Maybe there is a
negative side effect and, rather than calling the doctor, the patient simply
stops taking the drug. In many cases, these incidents can lead to serious
medical complications. What's worse, often the patients will neglect to tell
the doctor about the stopped medication leaving the physician baffled as to why
the person isn't getting better.
How can EMR
software and associated e-prescription services help this problem?
E-Prescriptions Make It Easier For
the Patient
Filling
prescriptions through e-prescription feature of EMR software help patient
compliance immediately. The prescription is transmitted directly to the
pharmacy and is ready by the time the patient arrives. With many pharmacies
offering drive-up service, it is easy to pick up the needed medication and
patients have one less excuse to avoid the medication.
Clearly
printed e-prescriptions help both pharmacy and patient. The pharmacy doesn't
have to puzzle out sloppy, hand-written orders so don't need to call the
doctor's office for clarification, a step that slows the process. The patient
receives written instructions, including important cautions such as telling the
patient to keep taking the medication upon feeling better, so it is more likely
the drug will be taken as the doctor intended.
Doctors Can Monitor Patient
Compliance
Medical
students learn that a patient statement is one of the least reliable sources of
information. A patient who has stopped taking medication may not tell the
doctor, perhaps through embarrassment or a desire to avoid a confrontation.
Some patients change their dose on their own, not informing the doctor when
they do so.
EMR
software gives doctors the ability to monitor a patient's compliance. The
doctor can check to see a patient has picked up the medication and, if not,
contact the patient for more information. A doctor could note the prescription
is refilled more or less often than expected, indicating the patient is taking
a different dose than ordered. The office can verify the correct drug has been
dispensed, protecting patient safety.
Doctors are
using EMR software and e-prescriptions to improve patient care as well as
improving the efficiency and profitability of the practice.