Samadbeik Mahnaz, Ahmadi Maryam, Sadoughi Farahnaz, Garavand Ali
Social Determinants of Health Research Center, Department of Health Information Technology, Lorestan University of Medical Sciences, Khorramabad, Iran.
Department of Health Information Management, School of Management and Medical Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Iran J Pharm Res. 2019 Fall;18(4):2204-2215. doi: 10.22037/ijpr.2019.1100801.
Identifying the factors and components of an electronic prescription system is of utmost importance in effective designing and implementation of this system. In this regard, the current study was conducted to determine the main factors affecting the national model of electronic prescription from the physicians' point of view. This is a cross-sectional, descriptive-analytical research carried out in 2015. Based on the census sampling method, 104 members of the board of directors of the Iranian general practitioners' associations, general practitioners' alumni association of Iran, and physicians owner of a website or weblog were selected as samples for this study. Data were collected using a valid and reliable questionnaire. After analyzing the data with SPSS software (v.16), a model was proposed using a regression algorithm. The findings indicated that accessing the current medication data and medication history of patients during prescription, and also creating the electronic patient medication record (ePMR) are the most important selective components for physicians with frequency percent of 92.1%. Moreover, from the physicians' viewpoint, the method of "transmission of prescriptions to the central national database and retrieving prescriptions information from the selected pharmacy of the patient" had the highest priority (weight coefficient) in the model of the national electronic prescription system. Therefore, the Iranian prescription system is required to be developed based on the centralized architecture and national electronic prescription database.
识别电子处方系统的因素和组成部分对于该系统的有效设计和实施至关重要。在这方面，本研究旨在从医生的角度确定影响国家电子处方模式的主要因素。这是一项于2015年开展的横断面描述性分析研究。基于普查抽样方法，伊朗全科医生协会董事会成员、伊朗全科医生校友协会成员以及拥有网站或博客的医生中的104人被选为该研究的样本。使用有效且可靠的问卷收集数据。在用SPSS软件（版本16）分析数据后，使用回归算法提出了一个模型。研究结果表明，在开处方时获取患者当前用药数据和用药史，以及创建电子患者用药记录（ePMR）是医生最重要的选择组成部分，频率百分比为92.1%。此外，从医生的角度来看，“将处方传输到国家中央数据库并从患者选定的药房检索处方信息”的方法在国家电子处方系统模型中具有最高优先级（权重系数）。因此，伊朗处方系统需要基于集中式架构和国家电子处方数据库进行开发。
