Modelling organisational value realisation in e-prescribing exchanges as a service value network

The digital network structure of e-prescribing creates a new organisational form that, to date has failed to reconcile the imbalance of those who bear the costs of creating value for other members of the system. A conceptual framework built on the service value network examines exchanges between the network enabler, which provides the e-prescribing service, and the service providers who temporarily join together to virtually process an e-prescribing transaction. Each of these exchanges is assessed using value network analysis, which determines the value created for both individual actors and the network enablers. The description of these exchanges and the context in which they are carried out are developed through interpretive synthesis that pieces together hundreds of medication management articles related to e-prescribing. The paper seeks a value-driven explanation for adoption challenges faced by e-prescribing in the United States.