Mooranian Armin, Emmerton Lynne, Hattingh Laetitia
School of Pharmacy, Curtin Health Innovation Research Institute, Curtin University, Perth, WA, Australia.
Int J Pharm Pract. 2013 Dec;21(6):405-12. doi: 10.1111/ijpp.12034. Epub 2013 Apr 7.
Personally Controlled Electronic Health Records (PCEHRs) were introduced for Australian health consumers in July 2012. This study aimed to determine, in the months prior to the launch, community pharmacists' perceptions about practical and professional aspects relating to integration of the PCEHR into pharmacy practice, with a view to informing practice guidelines and training.
Semi-structured interviews with 25 pharmacy owners and/or managers from 24 community pharmacies in Perth, Western Australia, were undertaken during March-April 2012. Participants were given a standardised briefing about the PCEHR before exploratory questioning regarding the expected integration, benefits and challenges of the system in pharmacy practice.
Despite some awareness of the impending introduction of PCEHRs via the lay media, pharmacists were almost unanimously uninformed about the intended rollout, design and functionality of the system for health consumers and practitioners. Participants expressed concerns regarding patients' control over their data management, time associated with staff training, technical upgrades and resource allocation. Obstacles included pharmacists' inability to legitimately access patient data outside consultations. Pharmacists expected flexibility to record clinical activities and health services. Priorities identified for the profession were remuneration, medico-legal guidelines and boundaries, and clarification of roles and responsibilities.
Despite being unaware of details surrounding integration of PCEHRs in practice, community pharmacists provided insights into their expectations and concerns and the perceived benefits relating to implementation of the system. Training priorities and practice guidelines should address ethical data management and optimal use of electronic health records for clinical services.
个人控制的电子健康记录（PCEHRs）于2012年7月面向澳大利亚健康消费者推出。本研究旨在确定在推出前的几个月里，社区药剂师对PCEHR融入药房实践的实际和专业方面的看法，以便为实践指南和培训提供参考。
2012年3月至4月期间，对西澳大利亚州珀斯24家社区药房的25名药房所有者和/或经理进行了半结构化访谈。在就该系统在药房实践中的预期整合、益处和挑战进行探索性提问之前，向参与者提供了关于PCEHR的标准化简报。
尽管通过大众媒体对即将推出的PCEHR有所了解，但药剂师几乎一致对面向健康消费者和从业者的该系统的预期推出、设计和功能一无所知。参与者对患者对其数据管理之控制、与员工培训、技术升级及资源分配相关的时间表示担忧。障碍包括药剂师在会诊之外无法合法获取患者数据。药剂师期望在记录临床活动和健康服务方面具有灵活性。该行业确定的优先事项是薪酬、医学法律指南和界限，以及角色和职责的明确。
尽管不了解PCEHR在实践中整合的细节，但社区药剂师对他们的期望和担忧以及与该系统实施相关的感知益处提供了见解。培训重点和实践指南应涉及道德数据管理以及电子健康记录在临床服务中的最佳使用。
