Mantzourani Efthymia, Way Cheryl M, Hodson Karen L
College of Biomedical and Life Sciences, Cardiff School of Pharmacy and Pharmaceutical Sciences, Cardiff University.
NHS Wales Informatics Service, Cardiff, Wales, UK.
Integr Pharm Res Pract. 2017 Sep 20;6:145-156. doi: 10.2147/IPRP.S133273. eCollection 2017.
The aim of this study was to explore the views of community pharmacists participating in the pilot of a secure online platform in Wales, the Choose Pharmacy application (CPA), with particular interest in the electronic Discharge Advice Letters (e-DALs) and online Discharge Medicines Review (DMR) form.
A qualitative approach with semi-structured interviews was adopted. A gatekeeper from National Health Service Wales Informatics Service identified 35 pharmacies, of the 43 pharmacies where the CPA had been implemented, that had completed at least one DMR, and these were therefore invited to an interview.
A total of 17 pharmacists were interviewed. Overall, the results were positive and CPA and e-DAL were perceived to facilitate continuity of care between care settings. The design and usability were perceived as good as pharmacists could navigate the CPA without problems; many felt this was due to the level of training they had received. Many pharmacists were happy for other services to be included on the platform due to its ease of use and automatic reimbursement. Several pharmacists felt that communication between primary and secondary care can be further improved as the uptake of e-DAL increases.
CPA was found to streamline the completion of online DMR improving continuity of care between primary and secondary sectors, which in turn should improve patient safety on discharge from hospital.
本研究旨在探讨参与威尔士一个安全在线平台试点项目“选择药房”应用程序（CPA）的社区药剂师的观点，尤其关注电子出院建议信（e-DALs）和在线出院药物审查（DMR）表格。
采用半结构化访谈的定性研究方法。威尔士国民保健服务信息服务中心的一名把关人从43家已实施CPA的药房中，挑选出35家至少完成过一次DMR的药房，并邀请这些药房参与访谈。
共访谈了17名药剂师。总体而言，结果是积极的，CPA和e-DAL被认为有助于不同护理环境之间的护理连续性。设计和易用性被认为良好，因为药剂师能够毫无问题地操作CPA；许多人认为这得益于他们接受的培训水平。由于平台使用方便且有自动报销功能，许多药剂师乐意在该平台上纳入其他服务。随着e-DAL使用率的提高，一些药剂师认为初级和二级护理之间的沟通可以进一步改善。
发现CPA简化了在线DMR的完成过程，改善了初级和二级医疗部门之间的护理连续性，进而应提高患者出院时的安全性。
