Kosari Sam, Yee Kwang Choon, Mulhall Stephanie, Thomas Jackson, Jackson Shane L, Peterson Gregory M, Rudgley Ayla, Walker Iain, Naunton Mark
Discipline of Pharmacy, Faculty of Health, University of Canberra, Bruce 2617, Australia.
Health Research Institute, Faculty of Health, University of Canberra, Bruce 2617, Australia.
Pharmacy (Basel). 2020 Oct 14;8(4):190. doi: 10.3390/pharmacy8040190.
(1) Background: My Health Record (MHR) is a relatively new nationwide Australian digital health record system accessible by patients and a range of healthcare professionals. Pharmacists will be key contributors and users of the MHR system, yet little is known about the perceived barriers and benefits of use. (2) Objective: To explore pharmacists' perspectives related to potential benefits and barriers associated with use of MHR. (3) Methods: An online survey was developed and face-validated. The survey was advertised to Australian pharmacists on pharmacy professional bodies' websites. This was a cross-sectional study using an anonymous questionnaire. Descriptive statistics were used to describe the distribution of the data. Chi-square, Kendall's tau coefficient (tau-c) and Kruskal-Wallis tests were used to examine the relationships where appropriate. (4) Results: A total of 63 pharmacists completed the survey. The majority of respondents worked in a metropolitan area (74%), and the most common workplace setting was community pharmacy (65%). Perceived benefits identified by responders include that the use of MHR would help with continuity of care (90%), and that it would improve the safety (71%) and quality (75%) of care they provided. Importantly, more than half of pharmacists surveyed agreed that MHR could reduce medication errors during dispensing (57%) and could improve professional relationships with patients (57%) and general practitioners (59%). Potential barriers identified by pharmacists included patients' concerns about privacy (81%), pharmacists' own concern about privacy (46%), lack of training, access to and confidence in using the system. Sixty six percent of respondents had concerns about the accuracy of information contained within MHR, particularly among hospital and general practice pharmacists ( = 0.016) and almost half (44%) had concerns about the security of information in the system, mainly pharmacists working at general practice and providing medication review services ( = 0.007). Overall satisfaction with MHR varied, with 48% satisfied, 33% neither satisfied nor dissatisfied, and 19% dissatisfied, with a higher satisfaction rate among younger pharmacists ( = 0.032). (5) Conclusions: Pharmacists considered that the MHR offered key potential benefits, notably improving the safety and quality of care provided. To optimize the use of MHR, there is a need to improve privacy and data security measures, and to ensure adequate provision of user support and education surrounding the ability to integrate use of MHR with existing workflows and software.
（1）背景：我的健康记录（MHR）是澳大利亚一个相对较新的全国性数字健康记录系统，患者和一系列医疗保健专业人员均可使用。药剂师将是MHR系统的关键贡献者和使用者，但对于使用该系统所感知到的障碍和益处却知之甚少。（2）目的：探讨药剂师对与使用MHR相关的潜在益处和障碍的看法。（3）方法：设计并进行了一项经过表面效度验证的在线调查。该调查在药学专业团体的网站上向澳大利亚药剂师进行了宣传。这是一项使用匿名问卷的横断面研究。使用描述性统计来描述数据分布。在适当情况下，使用卡方检验、肯德尔tau系数（tau-c）和克鲁斯卡尔 - 沃利斯检验来检验关系。（4）结果：共有63名药剂师完成了调查。大多数受访者在大都市地区工作（74%），最常见的工作场所是社区药房（65%）。受访者认为的益处包括使用MHR有助于护理的连续性（90%），并且会提高他们提供的护理的安全性（71%）和质量（75%）。重要的是，超过一半接受调查的药剂师同意MHR可以减少配药过程中的用药错误（57%），并可以改善与患者（57%）和全科医生（59%）的专业关系。药剂师指出的潜在障碍包括患者对隐私的担忧（81%）、药剂师自身对隐私的担忧（46%）、缺乏培训、对使用该系统的访问权限和信心。66%的受访者对MHR中包含的信息准确性表示担忧，特别是医院和全科药房的药剂师（P = 0.016），近一半（44%）的受访者对系统中的信息安全性表示担忧，主要是在全科诊所工作并提供药物审查服务的药剂师（P = 0.007）。对MHR的总体满意度各不相同，48%的人满意，33%的人既不满意也不不满意，19%的人不满意，年轻药剂师的满意度更高（P = 0.032）。（5）结论：药剂师认为MHR提供了关键的潜在益处，特别是提高了所提供护理的安全性和质量。为了优化MHR的使用，需要改进隐私和数据安全措施，并确保围绕将MHR的使用与现有工作流程和软件集成的能力提供充分的用户支持和教育。
