使用电子病历监测安全有效的医用大麻处方:是否可行?

IF 1.2 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Australian journal of primary health Pub Date : 2023-02-01 DOI:10.1071/PY22054_CO

Christine M Hallinan, Jane M Gunn, Yining Qian, Yvonne A Bonomo

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引用次数: 0

摘要

背景:全科医生有能力通过全科医生电子病历(EMR)对医用大麻的药物警戒做出贡献。本研究的目的是询问来自Patron初级保健数据库的去识别患者数据，以获取药用大麻的报告，以确定在澳大利亚使用电子病历监测药用大麻处方的可行性。方法:对来自109个诊所的1 164 846名活跃患者进行基于EMR规则的数字表型分析，调查2017年9月至2020年9月的药用大麻使用报告。结果:在Patron数据库中鉴定出80例患者170张药用大麻处方。处方的原因包括焦虑、多发性硬化症、癌症、恶心和克罗恩病。9例患者表现出可能的不良事件症状，包括抑郁、机动车事故、胃肠道症状和焦虑。结论:在患者电子病历中记录药用大麻的效果为社区的药用大麻监测提供了潜力。如果将监控嵌入到全科医生的工作流程中，这尤其可行。

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Corrigendum to: Use of electronic medical records to monitor the safe and effective prescribing of medicinal cannabis: is it feasible?

Background: General practitioners are well positioned to contribute to the pharmacovigilance of medical cannabis via the general practice electronic medical record (EMR). The aim of this research is to interrogate de-identified patient data from the Patron primary care data repository for reports of medicinal cannabis to ascertain the feasibility of using EMRs to monitor medicinal cannabis prescribing in Australia.

Methods: EMR rule-based digital phenotyping of 1 164 846 active patients from 109 practices was undertaken to investigate reports of medicinal cannabis use from September 2017 to September 2020.

Results: Eighty patients with 170 prescriptions of medicinal cannabis were identified in the Patron repository. Reasons for prescription included anxiety, multiple sclerosis, cancer, nausea, and Crohn's disease. Nine patients showed symptoms of a possible adverse event, including depression, motor vehicle accident, gastrointestinal symptoms, and anxiety.

Conclusions: The recording of medicinal cannabis effects in the patient EMR provides potential for medicinal cannabis monitoring in the community. This is especially feasible if monitoring were to be embedded into general practitioner workflow.

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来源期刊

Australian journal of primary health 医学-公共卫生、环境卫生与职业卫生

CiteScore

2.20

自引率

15.40%

发文量

136

审稿时长

6-12 weeks

期刊介绍： Australian Journal of Primary Health integrates the theory and practise of community health services and primary health care. The journal publishes high-quality, peer-reviewed research, reviews, policy reports and analyses from around the world. Articles cover a range of issues influencing community health services and primary health care, particularly comprehensive primary health care research, evidence-based practice (excluding discipline-specific clinical interventions) and primary health care policy issues. Australian Journal of Primary Health is an important international resource for all individuals and organisations involved in the planning, provision or practise of primary health care. Australian Journal of Primary Health is published by CSIRO Publishing on behalf of La Trobe University.