Main Elements of National Model of Electronic Prescription System from Physicians' Point of View: A Case Study in a Developing Country.

Mahnaz Samadbeik, Maryam Ahmadi, Farahnaz Sadoughi, Ali Garavand
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Abstract

Identifying the factors and components of an electronic prescription system is of utmost importance in effective designing and implementation of this system. In this regard, the current study was conducted to determine the main factors affecting the national model of electronic prescription from the physicians' point of view. This is a cross-sectional, descriptive-analytical research carried out in 2015. Based on the census sampling method, 104 members of the board of directors of the Iranian general practitioners' associations, general practitioners' alumni association of Iran, and physicians owner of a website or weblog were selected as samples for this study. Data were collected using a valid and reliable questionnaire. After analyzing the data with SPSS software (v.16), a model was proposed using a regression algorithm. The findings indicated that accessing the current medication data and medication history of patients during prescription, and also creating the electronic patient medication record (ePMR) are the most important selective components for physicians with frequency percent of 92.1%. Moreover, from the physicians' viewpoint, the method of "transmission of prescriptions to the central national database and retrieving prescriptions information from the selected pharmacy of the patient" had the highest priority (weight coefficient) in the model of the national electronic prescription system. Therefore, the Iranian prescription system is required to be developed based on the centralized architecture and national electronic prescription database.

Abstract Image

从医师角度看国家电子处方系统模式的要素:以发展中国家为例。
确定电子处方系统的因素和组成部分对于有效设计和实施该系统至关重要。因此,本研究旨在从医生的角度确定影响全国电子处方模式的主要因素。这是2015年进行的一项横断面描述性分析研究。采用普查抽样的方法,选取伊朗全科医师协会董事会成员、伊朗全科医师校友会成员、网站或博客的医生共104人作为样本进行研究。数据收集采用有效和可靠的问卷调查。使用SPSS软件(v.16)对数据进行分析后,采用回归算法建立模型。结果表明,在处方过程中获取患者当前用药数据和用药史,并创建患者电子用药记录(ePMR)是医生最重要的选择成分,频率为92.1%。此外,从医生的角度来看,“将处方传输到国家中央数据库,并从患者选择的药房检索处方信息”的方法在国家电子处方系统模型中具有最高的优先级(权重系数)。因此,要求伊朗处方系统在集中式架构和国家电子处方数据库的基础上进行开发。
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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