School of Psychology and Public Health, La Trobe University, Melbourne, Australia.
Drug Alcohol Rev. 2023 Nov;42(7):1647-1657. doi: 10.1111/dar.13711. Epub 2023 Jul 4.
Prescription drug monitoring programs (PDMP) are electronic databases used by prescribers and pharmacists to monitor the use of high-risk prescription medications subject to extramedical use. This study aimed to explore how Australian pharmacists and prescribers are using PDMPs in practice and to gain an understanding of barriers to tool use, as well as practitioner recommendations to increase tool usability and uptake.
Semi-structured interviews were conducted with pharmacists and prescribers who use a PDMP (n = 21). The interviews were audio-recorded, transcribed and thematically analysed.
The four themes that emerged were: (i) PDMP notifications combined with practitioner clinical judgement guide PDMP usability; (ii) practitioners use PDMPs to facilitate patient and practitioner communication; (iii) workflow systems integration impacts tool usability; and (iv) optimising PDMP information and data access including practitioner-tool engagement to improve tool uptake and usability.
Practitioners appreciate the value of PDMP information support for clinical decisions and patient communication. However, they also acknowledge the challenges to tool use and recommend improvements including enhanced workflow, systems integration, optimisation of tool information and national data sharing. Practitioners provide an important perspective on PDMP use in clinical practice. The findings can be drawn on by PDMP administrators to improve tool usefulness. Consequently, this may lead to an increase in practitioner PDMP use and optimise the delivery of quality patient care.
处方药物监测计划（PDMP）是一种电子数据库，供处方医生和药剂师使用，以监测易被滥用的高风险处方药物的使用情况。本研究旨在探讨澳大利亚的药剂师和医生在实践中是如何使用 PDMP 的，并了解工具使用的障碍，以及提高工具可用性和使用率的从业者建议。
对使用 PDMP 的药剂师和医生（n=21）进行半结构化访谈。访谈内容被录音、转录，并进行主题分析。
出现了四个主题：（i）PDMP 通知与医生的临床判断相结合，指导 PDMP 的可用性；（ii）医生使用 PDMP 促进患者和医生之间的沟通；（iii）工作流程系统集成影响工具的可用性；（iv）优化 PDMP 信息和数据访问，包括医生与工具的互动，以提高工具的使用率和可用性。
从业者赞赏 PDMP 信息对临床决策和患者沟通的支持价值。然而，他们也承认工具使用的挑战，并建议改进措施，包括增强工作流程、系统集成、优化工具信息和全国范围内的数据共享。从业者为 PDMP 在临床实践中的使用提供了重要视角。PDMP 管理员可以借鉴这些发现来提高工具的实用性。因此，这可能会增加从业者对 PDMP 的使用，并优化患者护理的质量。
