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土耳其电子处方过渡评估:家庭医生视角。

Evaluation of Transition to Electronic Prescriptions in Turkey: Perspective of Family Physicians.

机构信息

Department of Health Care Management, Faculty of Health Sciences, Hitit University, Çorum, Turkey.

Program of Health Institutions Management, Vocational School of Health Services, Batman University, Batman, Turkey.

出版信息

Int J Health Policy Manag. 2019 Jan 1;8(1):40-48. doi: 10.15171/ijhpm.2018.89.

Abstract

BACKGROUND

One of the most important steps of the health transformation program involves the application of electronic prescriptions (e-prescriptions) in health services. Information technologies are highly important in generating e-prescriptions, which can be described as a document produced by authorized personnel electronically, containing written information and instructions regarding a patient's medication and its usage. E-prescribing has become increasingly applied in recent years as a contributing application to prescribers and patients. The aim of this study was to determine the level of satisfaction of family physicians providing primary care in Turkey regarding the application of e-prescriptions, and reveal the related positive effects and problems encountered in the first months of implementation of e-prescribing.

METHODS

A questionnaire with eight questions was sent to e-mails of all family physicians working in Turkey in May 2013. A total of 1564 family physicians filled in the questionnaire form and sent it back by e-mail. The responses to openended questions were evaluated by content analysis.

RESULTS

It was observed that the most frequently indicated advantages of the application of e-prescriptions were speeding up the prescription process and saving time (36.6%). The most commonly reported problems regarding the application of e-prescriptions were found to be system-induced problems (26.5%) and internet problems (19.9%). In addition, the mean score of satisfaction of the family physicians who did not report problems with the application of e-prescriptions was higher than that of those who reported having problems with it. In the study, 77.8% of the family physicians were satisfied with the application of e-prescriptions.

CONCLUSION

Although some problems were reported regarding the application of e-prescriptions in the first months of the application, family physicians participated in the study were found to be satisfied with the application of e-prescriptions, and identified positive effects on their work and processes.

摘要

背景

卫生转型计划的最重要步骤之一是在卫生服务中应用电子处方(e-prescriptions)。信息技术在生成电子处方中非常重要,电子处方可以被描述为授权人员以电子方式生成的文件,其中包含有关患者用药及其使用的书面信息和说明。近年来,电子处方作为一种为开方者和患者提供的辅助应用程序,得到了越来越多的应用。本研究旨在确定土耳其提供初级保健的家庭医生对电子处方应用的满意度,并揭示在实施电子处方的最初几个月中遇到的相关积极影响和问题。

方法

2013 年 5 月,向土耳其所有家庭医生的电子邮件发送了一份包含八个问题的问卷。共有 1564 名家庭医生填写了问卷并通过电子邮件回复。对开放式问题的回答进行了内容分析。

结果

观察到应用电子处方的最常被指出的优势是加快处方流程和节省时间(36.6%)。报告的关于应用电子处方的最常见问题是系统引起的问题(26.5%)和互联网问题(19.9%)。此外,未报告应用电子处方问题的家庭医生的满意度评分高于报告有问题的家庭医生。在研究中,77.8%的家庭医生对应用电子处方表示满意。

结论

尽管在应用电子处方的最初几个月中报告了一些问题,但参与研究的家庭医生对电子处方的应用表示满意,并认为对他们的工作和流程有积极影响。

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