Turku City Healthcare, Turku, Finland.
Telemed J E Health. 2011 Apr;17(3):217-22. doi: 10.1089/tmj.2010.0111. Epub 2011 Mar 5.
This study investigated whether the adoption of electronic prescriptions (e-prescriptions) had increased in the 27 member countries of the European Union (EU) in the beginning of this decade. Our previous study in 2002 concerning the old union with 15 countries had discovered that e-prescriptions were rare in daily practice and that there was only slight interest for their future use. Since the internal market with free movement of people, goods, services, and capital is a central issue in the Union, we took a cross-border view of the use of the e-prescriptions.
A semiopen questionnaire on the use of e-prescriptions, chosen systems, the process itself, investments, and the acceptance of non-national European prescriptions was e-mailed to community pharmacy associations of the 27 EU member countries that were members of or otherwise identified by the Pharmaceutical Group of the EU.
Five countries were using e-prescriptions as a part of their daily practice, but only Denmark and Sweden reported nationwide use. These countries were the same that used e-prescriptions nationally already in 2002. Pilots presented in 2002 had not yet advanced into daily practice. Some new pilots/projects were prepared in the old and new member countries. E-prescription models and systems used were divergent between the countries and sometimes even within a country.
Nationwide use of e-prescriptions was not more common than in 2002. Several countries had piloted or were piloting projects on e-prescriptions. Interoperability of different systems is a challenge to which EU-funded projects might offer a solution.
本研究旨在调查在本世纪初，欧盟（EU）的 27 个成员国中电子处方（e-prescriptions）的采用情况是否有所增加。我们之前在 2002 年针对拥有 15 个国家的旧联盟进行的研究发现，e-prescriptions 在日常实践中很少见，对其未来使用的兴趣也不大。由于内部市场的人员、货物、服务和资本自由流动是联盟的核心问题，我们从跨境的角度来看待 e-prescriptions 的使用情况。
我们向欧盟 27 个成员国的社区药剂师协会发送了一份关于 e-prescriptions 使用情况、选择的系统、流程本身、投资和接受非欧洲国家处方的半开放式问卷，这些协会是欧盟制药集团的成员或通过其他方式确定的。
有五个国家将 e-prescriptions 作为日常实践的一部分，但只有丹麦和瑞典报告了全国范围内的使用情况。这两个国家在 2002 年已经在全国范围内使用 e-prescriptions。2002 年提出的试点项目尚未进入日常实践。旧成员国和新成员国都在准备新的试点项目/计划。各国之间使用的 e-prescription 模型和系统存在差异，有时甚至在一个国家内部也是如此。
与 2002 年相比，全国范围内使用 e-prescriptions 的情况并没有更普遍。一些国家已经或正在试点 e-prescriptions 项目。不同系统之间的互操作性是一个挑战，欧盟资助的项目可能会提供解决方案。
