Goundrey-Smith Stephen
SGS PharmaSolutions, Gloucestershire, United Kingdom.
Front Pharmacol. 2018 Nov 28;9:1352. doi: 10.3389/fphar.2018.01352. eCollection 2018.
The need for interoperability of healthcare Information Technology (IT) systems in order to provide safe, efficient, and coordinated healthcare is universally recognized. Various health economies, such as the United Kingdom, the United States, and Australia, are seeking to develop regional, state-wide, or national systems of healthcare interoperability. In England, the community pharmacy network is a significant health provider, with important implications for provision of healthcare in deprived areas because of its accessibility. Historically, however, community pharmacies have operated on a silo basis, and have not shared information on their activities with, or been able to access information from, other National Health Service (NHS) healthcare providers. The development of services such as the Electronic Prescription Service and the Summary Care Record in England have helped to connect community pharmacy with the NHS infrastructure, and more comprehensive systems and datasets are proposed to integrate community pharmacy with the NHS in future. This paper will review the benefits of the connected community pharmacy, based on developments to date and reviewing evidence from other countries. It will describe some of the future developments that will support the connected community pharmacy in England, and discuss some of the implications for pharmacists and health policy makers.
为了提供安全、高效且协调的医疗保健服务，医疗信息技术（IT）系统的互操作性需求已得到普遍认可。英国、美国和澳大利亚等不同的卫生经济体都在寻求开发区域、全州或全国性的医疗保健互操作性系统。在英格兰，社区药房网络是重要的医疗服务提供者，因其可及性，对贫困地区的医疗保健服务提供具有重要意义。然而，从历史上看，社区药房一直是独立运营的，并未与其他国民医疗服务体系（NHS）的医疗服务提供者共享其活动信息，也无法获取这些提供者的信息。英格兰电子处方服务和摘要护理记录等服务的发展有助于将社区药房与NHS基础设施连接起来，并且未来还计划建立更全面的系统和数据集，以将社区药房与NHS整合在一起。本文将基于迄今为止的发展情况并参考其他国家的证据，综述连接起来的社区药房的益处。它将描述一些支持英格兰连接起来的社区药房的未来发展，并讨论对药剂师和卫生政策制定者的一些影响。
