School of Pharmacy, Sichuan University, No. 17, 3Rd Section, Renmin South Road, 610041, Chengdu, P.R. China.
Clinical Research Institute, the Affiliated Hospital of Southwest Medical University, 646000, Luzhou, P.R. China.
BMC Health Serv Res. 2023 Aug 29;23(1):920. doi: 10.1186/s12913-023-09742-8.
Information and technologies relevant to eHealth have developed rapidly over the past two decades. Based on this, China piloted "Internet + " pattern and some regions piloted electronic prescription services to explore telepharmacy services.
To describe the processes and assess the operation status of electronic prescription services mode for community pharmacies in China.
The simulated patient methodology was used to conduct a cross-sectional study in 317 community pharmacies from six districts in Chengdu, China in 2019. Simulated patients expressed three levels of service demands based on scenario about acute upper respiratory tract infections to evaluate the recommendation strength of electronic prescription services and telepharmacy service in community pharmacies. The descriptive statistics was completed to obtain the characteristics of the visit process, student t-test and χ test (P < 0.05 was considered statistically significant) were used for inferential statistical analysis to determine differences in characteristics and degree of recommendation between pharmacies.
Three Hundred Seventeen record sheets were effectively collected. The third-party platform was recommended in 195 (61.5%) interactions. The main reason for not recommending is non-prescription dispensing of prescription drugs (27.1%). 90.3% interactions waited less than 1 min, the counseling duration was less than 5 min in all interactions, and most community pharmacies had good network conditions (81.5%). 97.4% remote physicians offered professional counseling, only 22.1% of the pharmacists provided medication advice.
The electronic prescription services mode for community pharmacies in Chengdu provides a convenient drug purchase process but remains some problems. For example, prescribing drugs without a prescription and services provided by pharmacists was poor, etc. The relevant supporting policies should be improved in future development process.
在过去的二十年中，与电子健康相关的信息和技术发展迅速。在此基础上，中国试点了“互联网+”模式，一些地区试点了电子处方服务，以探索远程药学服务。
描述中国社区药店电子处方服务模式的流程并评估其运行状况。
2019 年，采用模拟患者方法在中国成都六个区的 317 家社区药店进行横断面研究。模拟患者根据急性上呼吸道感染的情景表达了三个级别的服务需求，以评估社区药店电子处方服务和远程药学服务的推荐强度。完成描述性统计以获得访问过程的特征，使用学生 t 检验和 χ 检验（P<0.05 被认为具有统计学意义）进行推断性统计分析，以确定药店之间特征和推荐程度的差异。
有效收集了 317 份记录单。在 195 次（61.5%）互动中推荐了第三方平台。不推荐的主要原因是非处方药配药（27.1%）。90.3%的互动等待时间不到 1 分钟，所有互动的咨询时间均少于 5 分钟，大多数社区药店的网络条件良好（81.5%）。97.4%的远程医生提供专业咨询，只有 22.1%的药剂师提供用药建议。
成都社区药店的电子处方服务模式提供了便捷的购药流程，但仍存在一些问题。例如，未经处方配药和药剂师提供的服务较差等。在未来的发展过程中，应完善相关配套政策。
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