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JAM | Apr 2, 2026

Dr Che Bowen | The silent bottleneck in Jamaican Healthcare: How paper prescriptions are slowing the entire system

/ Our Today

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Dr Ché Bowen, CEO and co-founder of MDLink Diagnostic Laboratory . (Photo: Contributed)

Healthcare delivery is often discussed in terms of access, cost, and quality. 

Yet, one of the most overlooked inefficiencies in the Jamaican healthcare system lies in a routine process that occurs thousands of times daily, the issuing and processing of prescriptions.

At first glance, a handwritten prescription may seem simple and effective. However, when examined within the broader healthcare workflow, it becomes clear that this paper-based system introduces delays at nearly every stage.

Patients frequently leave a doctor’s office only to face long wait times at pharmacies. Pharmacists must manually interpret prescriptions, verify unclear instructions, and input data into their systems. If clarification is needed, additional calls are made to the prescribing physician, further delaying the dispensing process. In some cases, prescriptions are lost or damaged, forcing patients to return to their doctor for a replacement, resulting in frustration, lost time, and additional cost.

These inefficiencies are not isolated incidents; they accumulate across the system. Clinics experience slower patient turnover, pharmacies handle increased administrative workload, and patients spend more time navigating processes that could be streamlined. For working individuals, this often translates into lost productivity and income.

From an operational perspective, paper prescriptions limit visibility and coordination. There is no real time communication between doctor and pharmacy, no way to track whether a prescription has been filled, and no centralised data to inform decision-making. This lack of integration makes it difficult to optimise workflows or identify systemic issues.

Electronic prescribing offers a practical solution to these challenges. By transmitting prescriptions directly from the physician to the pharmacy, processing time is significantly reduced. Pharmacists receive clear, structured information, allowing them to prepare medications in advance or more efficiently upon patient arrival. This not only shortens wait times but also improves overall patient experience.

In addition, electronic systems enable better coordination across the healthcare network. Physicians can confirm whether prescriptions have been filled, pharmacies can manage inventory more effectively, and healthcare providers can access more accurate data to support patient care.

There is also an economic dimension that cannot be ignored. Time lost due to inefficiencies in healthcare translates into broader economic loss. When patients spend hours waiting or making repeat visits, it impacts workforce productivity and increases indirect healthcare costs. Streamlining prescription workflows is, therefore, not just a clinical improvement; it is an economic one.

Jamaica’s healthcare system continues to evolve, with increasing demand and growing expectations for efficiency and quality. Addressing bottlenecks such as paper-based prescribing is a necessary step in that evolution.

The transition to electronic prescriptions represents an opportunity to modernise a critical component of healthcare delivery. By reducing delays, improving coordination, and enhancing efficiency, Jamaica can move toward a system that better serves both patients and providers.

In a system where every minute matters, eliminating unnecessary friction is not optional; it is essential.

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