{"id":"https://openalex.org/W7224936513","doi":"https://doi.org/10.35451/jfm.v9i1.3942","title":"Barriers and Facilitators to the Implementation of Electronic Prescribing Systems in Healthcare: A Systematic Review Using a Sociotechnical Framework","display_name":"Barriers and Facilitators to the Implementation of Electronic Prescribing Systems in Healthcare: A Systematic Review Using a Sociotechnical Framework","publication_year":2026,"publication_date":"2026-10-30","ids":{"openalex":"https://openalex.org/W7224936513","doi":"https://doi.org/10.35451/jfm.v9i1.3942"},"language":"en","primary_location":{"id":"doi:10.35451/jfm.v9i1.3942","doi":"https://doi.org/10.35451/jfm.v9i1.3942","is_oa":true,"landing_page_url":"https://doi.org/10.35451/jfm.v9i1.3942","pdf_url":"https://ejournal.medistra.ac.id/index.php/JFM/article/download/3942/2238","source":{"id":"https://openalex.org/S4210213644","display_name":"JURNAL FARMASIMED (JFM)","issn_l":"2655-0814","issn":["2655-0814"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210164821","host_organization_name":"Institut Kesehatan Medistra Lubuk Pakam","host_organization_lineage":["https://openalex.org/I4210164821"],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nd","license_id":"https://openalex.org/licenses/cc-by-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JURNAL FARMASIMED (JFM)","raw_type":"journal-article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://ejournal.medistra.ac.id/index.php/JFM/article/download/3942/2238","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5160186018","display_name":"Aulan Syahalia","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I165230279","display_name":"Universitas Gadjah Mada","ror":"https://ror.org/03ke6d638","country_code":"ID","type":"education","lineage":["https://openalex.org/I165230279"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Aulan Syahalia","raw_affiliation_strings":["Master Program in Management Pharmacy, Faculty of Pharmacy, Universitas Gadjah Mada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Master Program in Management Pharmacy, Faculty of Pharmacy, Universitas Gadjah Mada","institution_ids":["https://openalex.org/I165230279"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052265695","display_name":"Susi Ari Kristina","orcid":"https://orcid.org/0000-0003-4248-6830","observed_orcids":["https://orcid.org/0000-0003-4248-6830"]},"institutions":[{"id":"https://openalex.org/I165230279","display_name":"Universitas Gadjah Mada","ror":"https://ror.org/03ke6d638","country_code":"ID","type":"education","lineage":["https://openalex.org/I165230279"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Susi Ari Kristina","raw_affiliation_strings":["Department of Pharmaceutics, Faculty of Pharmacy, Universitas Gadjah Mada, Yogyakarta, Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pharmaceutics, Faculty of Pharmacy, Universitas Gadjah Mada, Yogyakarta, Indonesia","institution_ids":["https://openalex.org/I165230279"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5032349755","display_name":"Chairun Wiedyaningsih","orcid":"https://orcid.org/0000-0002-4321-0230","observed_orcids":["https://orcid.org/0000-0002-4321-0230"]},"institutions":[{"id":"https://openalex.org/I165230279","display_name":"Universitas Gadjah Mada","ror":"https://ror.org/03ke6d638","country_code":"ID","type":"education","lineage":["https://openalex.org/I165230279"]}],"countries":["ID"],"is_corresponding":false,"raw_author_name":"Chairun Wiedyaningsih","raw_affiliation_strings":["Department of Pharmaceutics, Faculty of Pharmacy, Universitas Gadjah Mada, Yogyakarta, Indonesia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pharmaceutics, Faculty of Pharmacy, Universitas Gadjah Mada, Yogyakarta, Indonesia","institution_ids":["https://openalex.org/I165230279"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I165230279"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.68514412,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"9","issue":"1","first_page":"953","last_page":"963"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11024","display_name":"Information Systems Theories and Implementation","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/1404","display_name":"Management Information Systems"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/electronic-prescribing","display_name":"electronic prescribing","score":0.9980000257492065},{"id":"https://openalex.org/keywords/computerized-physician-order-entry","display_name":"computerized physician order entry","score":0.9990000128746033},{"id":"https://openalex.org/keywords/implementation-barriers-and-facilitators","display_name":"implementation barriers and facilitators","score":0.8569999933242798},{"id":"https://openalex.org/keywords/socio-technical-framework","display_name":"socio-technical framework","score":0.8389999866485596},{"id":"https://openalex.org/keywords/workflow-disruption","display_name":"workflow disruption","score":0.8479999899864197},{"id":"https://openalex.org/keywords/workload","display_name":"workload","score":0.7850000262260437},{"id":"https://openalex.org/keywords/usability","display_name":"usability","score":0.699999988079071},{"id":"https://openalex.org/keywords/perceived-usefulness","display_name":"perceived usefulness","score":0.578000009059906},{"id":"https://openalex.org/keywords/user-acceptance","display_name":"user acceptance","score":0.6309999823570251},{"id":"https://openalex.org/keywords/organizational-readiness","display_name":"organizational readiness","score":0.7139999866485596},{"id":"https://openalex.org/keywords/user-engagement","display_name":"user engagement","score":0.6340000033378601},{"id":"https://openalex.org/keywords/implementation-support","display_name":"implementation support","score":0.8519999980926514},{"id":"https://openalex.org/keywords/interoperability","display_name":"interoperability","score":0.8240000009536743},{"id":"https://openalex.org/keywords/medication-management","display_name":"medication management","score":0.5360000133514404},{"id":"https://openalex.org/keywords/health-technology-adoption","display_name":"health technology adoption","score":0.4519999921321869}],"concepts":[{"id":"https://openalex.org/C127627568","wikidata":"https://www.wikidata.org/wiki/Q1639361","display_name":"Sociotechnical system","level":2,"score":0.8616999983787537},{"id":"https://openalex.org/C177212765","wikidata":"https://www.wikidata.org/wiki/Q627335","display_name":"Workflow","level":2,"score":0.8475000262260437},{"id":"https://openalex.org/C2778476105","wikidata":"https://www.wikidata.org/wiki/Q628539","display_name":"Workload","level":2,"score":0.6510999798774719},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.544700026512146},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.5231999754905701},{"id":"https://openalex.org/C83867959","wikidata":"https://www.wikidata.org/wiki/Q371467","display_name":"Scopus","level":3,"score":0.4821999967098236},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.4812000095844269},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.43560001254081726},{"id":"https://openalex.org/C120936955","wikidata":"https://www.wikidata.org/wiki/Q2155640","display_name":"Empirical research","level":2,"score":0.41769999265670776},{"id":"https://openalex.org/C206345919","wikidata":"https://www.wikidata.org/wiki/Q20380951","display_name":"Resource (disambiguation)","level":2,"score":0.40639999508857727},{"id":"https://openalex.org/C182306322","wikidata":"https://www.wikidata.org/wiki/Q1779371","display_name":"Order (exchange)","level":2,"score":0.40119999647140503},{"id":"https://openalex.org/C189708586","wikidata":"https://www.wikidata.org/wiki/Q1504425","display_name":"Systematic review","level":3,"score":0.39629998803138733},{"id":"https://openalex.org/C2426938","wikidata":"https://www.wikidata.org/wiki/Q3355478","display_name":"Medical prescription","level":2,"score":0.3650999963283539},{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.3497999906539917},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3418999910354614},{"id":"https://openalex.org/C166052673","wikidata":"https://www.wikidata.org/wiki/Q83021","display_name":"Empirical evidence","level":2,"score":0.3409999907016754},{"id":"https://openalex.org/C71405471","wikidata":"https://www.wikidata.org/wiki/Q757012","display_name":"Quality management","level":3,"score":0.3343000113964081},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.33180001378059387},{"id":"https://openalex.org/C2777519982","wikidata":"https://www.wikidata.org/wiki/Q3560776","display_name":"Electronic prescribing","level":3,"score":0.3215999901294708},{"id":"https://openalex.org/C180198813","wikidata":"https://www.wikidata.org/wiki/Q121182","display_name":"Information system","level":2,"score":0.3192000091075897},{"id":"https://openalex.org/C539667460","wikidata":"https://www.wikidata.org/wiki/Q2414942","display_name":"Management science","level":1,"score":0.3142000138759613},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3131999969482422},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.29260000586509705},{"id":"https://openalex.org/C170130773","wikidata":"https://www.wikidata.org/wiki/Q216378","display_name":"Usability","level":2,"score":0.2833000123500824},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.2793000042438507},{"id":"https://openalex.org/C33566652","wikidata":"https://www.wikidata.org/wiki/Q1065927","display_name":"Theme (computing)","level":2,"score":0.27730000019073486},{"id":"https://openalex.org/C112930515","wikidata":"https://www.wikidata.org/wiki/Q4389547","display_name":"Risk analysis (engineering)","level":1,"score":0.2759000062942505},{"id":"https://openalex.org/C21547014","wikidata":"https://www.wikidata.org/wiki/Q1423657","display_name":"Operations management","level":1,"score":0.2734000086784363},{"id":"https://openalex.org/C28719098","wikidata":"https://www.wikidata.org/wiki/Q44946","display_name":"Point (geometry)","level":2,"score":0.25949999690055847},{"id":"https://openalex.org/C141330323","wikidata":"https://www.wikidata.org/wiki/Q2354820","display_name":"Evidence-based practice","level":3,"score":0.25450000166893005}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.35451/jfm.v9i1.3942","doi":"https://doi.org/10.35451/jfm.v9i1.3942","is_oa":true,"landing_page_url":"https://doi.org/10.35451/jfm.v9i1.3942","pdf_url":"https://ejournal.medistra.ac.id/index.php/JFM/article/download/3942/2238","source":{"id":"https://openalex.org/S4210213644","display_name":"JURNAL FARMASIMED (JFM)","issn_l":"2655-0814","issn":["2655-0814"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210164821","host_organization_name":"Institut Kesehatan Medistra Lubuk Pakam","host_organization_lineage":["https://openalex.org/I4210164821"],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nd","license_id":"https://openalex.org/licenses/cc-by-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JURNAL FARMASIMED (JFM)","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.35451/jfm.v9i1.3942","doi":"https://doi.org/10.35451/jfm.v9i1.3942","is_oa":true,"landing_page_url":"https://doi.org/10.35451/jfm.v9i1.3942","pdf_url":"https://ejournal.medistra.ac.id/index.php/JFM/article/download/3942/2238","source":{"id":"https://openalex.org/S4210213644","display_name":"JURNAL FARMASIMED (JFM)","issn_l":"2655-0814","issn":["2655-0814"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210164821","host_organization_name":"Institut Kesehatan Medistra Lubuk Pakam","host_organization_lineage":["https://openalex.org/I4210164821"],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nd","license_id":"https://openalex.org/licenses/cc-by-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JURNAL FARMASIMED (JFM)","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9391000270843506,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/systematic-review","display_name":"Systematic Review"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320327626","display_name":"Universitas Gadjah Mada","ror":"https://ror.org/03ke6d638"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224936513.pdf","grobid_xml":"https://content.openalex.org/works/W7224936513.grobid-xml"},"referenced_works_count":53,"referenced_works":["https://openalex.org/W159474452","https://openalex.org/W1600923648","https://openalex.org/W1787325329","https://openalex.org/W1825171194","https://openalex.org/W1843376238","https://openalex.org/W1963916193","https://openalex.org/W1982324651","https://openalex.org/W1999024472","https://openalex.org/W1999984653","https://openalex.org/W2015116872","https://openalex.org/W2032296034","https://openalex.org/W2051955935","https://openalex.org/W2054320749","https://openalex.org/W2060264080","https://openalex.org/W2080338198","https://openalex.org/W2110034024","https://openalex.org/W2130014047","https://openalex.org/W2132196140","https://openalex.org/W2136191187","https://openalex.org/W2147616631","https://openalex.org/W2151750165","https://openalex.org/W2219942470","https://openalex.org/W2326314193","https://openalex.org/W2339921216","https://openalex.org/W2395811185","https://openalex.org/W2595071355","https://openalex.org/W2791090478","https://openalex.org/W2897928302","https://openalex.org/W2898534347","https://openalex.org/W2901724277","https://openalex.org/W2904652200","https://openalex.org/W2965328741","https://openalex.org/W2968014508","https://openalex.org/W2977626707","https://openalex.org/W2995679486","https://openalex.org/W3012216798","https://openalex.org/W3118615836","https://openalex.org/W3123893780","https://openalex.org/W3169999495","https://openalex.org/W3184073223","https://openalex.org/W3216390671","https://openalex.org/W4205171205","https://openalex.org/W4307776790","https://openalex.org/W4308323601","https://openalex.org/W4311550226","https://openalex.org/W4313066507","https://openalex.org/W4400574202","https://openalex.org/W4410874643","https://openalex.org/W4411881268","https://openalex.org/W4414033604","https://openalex.org/W4414259818","https://openalex.org/W7160024281","https://openalex.org/W7160215094"],"related_works":["https://openalex.org/W2114801561","https://openalex.org/W2060264080","https://openalex.org/W4403231655","https://openalex.org/W2462207018","https://openalex.org/W4389003488","https://openalex.org/W2965328741","https://openalex.org/W2988750258","https://openalex.org/W1935298433","https://openalex.org/W2787672681","https://openalex.org/W1504342353"],"abstract_inverted_index":{"Background:":[0],"Electronic":[1],"prescribing":[2],"(e-prescribing)":[3],"and":[4,32,51,68,128,140,152,164,179,190,192],"computerized":[5],"provider":[6],"order":[7],"entry":[8],"(CPOE)":[9],"are":[10,199],"increasingly":[11],"used":[12],"in":[13,40,57,98,147,156,161,167],"medication":[14],"management,":[15],"but":[16],"successful":[17],"implementation":[18,56,90,153,172,188],"depends":[19],"on":[20,48],"more":[21],"than":[22,209],"technology.":[23],"How":[24],"systems":[25,198],"fit":[26],"workflows,":[27],"user":[28,186],"practices,":[29],"organizational":[30,184],"conditions,":[31],"the":[33],"policy":[34,191],"environment":[35],"can":[36],"influence":[37],"their":[38],"use":[39],"routine":[41],"care.":[42],"Objective:":[43],"To":[44],"synthesize":[45],"empirical":[46,73],"evidence":[47],"barriers,":[49,86],"facilitators,":[50,87],"other":[52],"factors":[53,166],"influencing":[54],"e-prescribing/CPOE":[55],"clinical":[58,99],"practice.":[59],"Methods:":[60],"This":[61],"systematic":[62],"review":[63,118],"followed":[64],"PRISMA":[65],"2020.":[66],"PubMed":[67],"Scopus":[69],"were":[70,130,144],"searched":[71],"for":[72],"studies":[74,83,149],"published":[75],"from":[76],"January":[77],"2000":[78],"through":[79],"December":[80],"2025.":[81],"Eligible":[82],"directly":[84],"examined":[85],"determinants,":[88],"or":[89,96,201],"processes":[91],"involving":[92],"e-prescribing,":[93],"CPOE,":[94],"EPMA,":[95],"EMMS":[97],"settings.":[100],"Methodological":[101],"quality":[102],"was":[103],"assessed":[104],"at":[105],"criterion":[106],"level":[107],"using":[108],"MMAT":[109],"2018":[110],"without":[111],"an":[112],"overall":[113],"numerical":[114],"score.":[115],"Results:":[116],"The":[117],"included":[119],"49":[120],"reports":[121],"representing":[122],"48":[123],"unique":[124],"studies.":[125],"Workflow":[126,182],"disruption":[127],"workload":[129],"most":[131],"frequent":[132],"(46/48;":[133],"95.8%).":[134],"Technical":[135],"infrastructure/usability,":[136],"perceived":[137],"usefulness/safety/efficiency/time,":[138],"acceptance/resistance/self-efficacy/trust,":[139],"leadership/organizational":[141],"readiness/user":[142],"engagement":[143],"each":[145],"identified":[146],"45/48":[148],"(93.8%).":[150],"Training":[151],"support":[154],"occurred":[155],"43/48":[157],"(89.6%),":[158],"communication/interoperability/prescription":[159],"processing":[160],"38/48":[162],"(79.2%),":[163],"policy/financial/external-environment":[165],"21/48":[168],"(43.8%).":[169],"Conclusion:":[170],"E-prescribing/CPOE":[171],"involves":[173],"interconnected":[174],"technical,":[175],"workflow,":[176],"human,":[177],"organizational,":[178],"external":[180],"factors.":[181],"fit,":[183],"readiness,":[185],"involvement,":[187],"support,":[189],"resource":[193],"conditions":[194],"require":[195],"attention":[196],"when":[197],"introduced":[200],"optimized.":[202],"Theme":[203],"frequencies":[204],"indicate":[205],"study-level":[206],"presence":[207],"rather":[208],"effect":[210],"estimates.":[211]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-31T00:00:00"}
