ADVANTAGES AND DISADVANTAGES OF E-PRESCRIBING FROM THE PHARMACISTS' PERSPECTIVE

Prosvirkin G.A., Dorofeeva V.V.
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Abstract

Various electronic prescription systems are being developed both in Russia and around the world. For their effective implementation, it is necessary not only to bring regulatory and legal acts in line with modern technological innovations, but also to take into account the point of view of the users of such systems - patients, pharmacists and doctors. In order to identify the opinion of pharmacists about the current state of the system and their satisfaction, a survey was conducted. For this purpose, we used a questionnaire, tested for reliability (Cronbach's alpha measurement) and validity (Pearson correlation coefficient estimation). The results of the questionnaire, literature review, regulatory and legal documents allowed us to conduct a PEST-analysis with the establishment of political, economic, socio-cultural and technological factors that influence the system, as well as a SWOT-analysis with the identification of strengths, weaknesses, opportunities and threats of the system. Its advantages, with which most of the interviewed specialists agree, include reduction of medical errors in prescribing, increased protection of users' personal data, contribution to the fight against fake prescriptions. Strengths include simplified pharmaceutical review of prescriptions, no need to analyze doctors' handwriting and simplified dispensing of medicines. Weaknesses include various technical failures, lack of or insufficient training. It is important to note that more than half (54%) of the surveyed pharmacists encounter difficulties when working with the system. In addition, recommendations for the improvement of this system were proposed, taking into account the data of sociological research, PEST-analysis and SWOT-analysis.
从药剂师的角度看电子处方的利弊
俄罗斯和世界各地都在开发各种电子处方系统。为了有效实施这些系统,不仅有必要使监管和法律法规与现代技术创新保持一致,还必须考虑到这些系统的用户--患者、药剂师和医生--的观点。为了了解药剂师对系统现状的看法及其满意度,我们开展了一项调查。为此,我们使用了一份问卷,并对其可靠性(克朗巴赫α测量)和有效性(皮尔逊相关系数估计)进行了测试。根据问卷调查、文献综述、监管和法律文件的结果,我们进行了 PEST 分析,确定了影响该系统的政治、经济、社会文化和技术因素,并进行了 SWOT 分析,确定了该系统的优势、劣势、机遇和威胁。大多数受访专家都认同该系统的优势,包括减少处方中的医疗错误、加强对用户个人数据的保护、有助于打击假处方。优点包括简化了处方的药学审查,无需分析医生的笔迹,简化了配药程序。不足之处包括各种技术故障、缺乏培训或培训不足。值得注意的是,超过一半(54%)的受访药剂师在使用该系统时遇到困难。此外,还结合社会学研究数据、PEST 分析和 SWOT 分析,提出了改进该系统的建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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