Ait Gacem Sabrina, Huri Hasniza Zaman, Wahab Izyan A, Abduelkarem Abduelmula R
Department of Clinical Pharmacy and Pharmacy Practice, Faculty of Pharmacy, Universiti Malaya, 50603, Kuala Lumpur, Malaysia.
Pharmacy Practice and Pharmacotherapeutics Department, College of Pharmacy, University of Sharjah, Sharjah, United Arab Emirates.
Int J Clin Pharm. 2025 Jan 4. doi: 10.1007/s11096-024-01851-6.
Fragmented healthcare systems hinder pharmacists' access to comprehensive patient data, limiting their clinical role and posing health risks. Enhancing system interoperability and evaluating factors influencing pharmacists' readiness for technology-driven practice change is a crucial step.
This systematic review aimed to investigate the digital determinants of pharmacists' readiness for technology-oriented practice change and interoperability.
A systematic search of PubMed, Scopus, and Cochrane Library was conducted on August 7, 2023, with registration number INPLASY202380071. Search method was developed, and quality was assessed using the Boynton and Greenhalgh Quality Checklist (BGQC) and Critical Appraisal Skills Programme (CASP).
The review included 13 studies, of which 7 (53.8%) included the study's setting. Of the seven studies, most discussed the community pharmacy setting (n = 3, 23.1%), followed by hospital pharmacy (n = 1, 7.6%), and both settings (n = 3, 23.1%). The studies included several countries: the United Kingdom (UK), Canada, the United States of America (USA), Australia, India, Sweden, and Saudi Arabia. The studies discussed several medical health informatic technologies such as electronic health records and e-prescribing. The three most reported technology-related influencing factors were related to digital literacy and technology-oriented tailored training (n = 9, 69.2%), followed by technical system features (n = 6, 46.2%) and technology operations (n = 5, 38.5%). The overall readiness level for technology-related practice change was intermediate (n = 7, 53.8%), high (n = 3, 23.1%), and low (n = 3, 23.1%).
Digital literacy, tailored training, and system features are crucial for enhancing pharmacists' readiness for technology adoption, highlighting the need for improved digital infrastructure and interoperability in clinical practice.
支离破碎的医疗体系阻碍了药剂师获取全面的患者数据，限制了他们的临床作用，并带来健康风险。增强系统互操作性以及评估影响药剂师对技术驱动的实践变革准备情况的因素是关键一步。
本系统评价旨在调查药剂师对以技术为导向的实践变革和互操作性准备情况的数字决定因素。
于2023年8月7日对PubMed、Scopus和Cochrane图书馆进行了系统检索，注册号为INPLASY202380071。制定了检索方法，并使用博因顿和格林哈尔格质量清单（BGQC）以及批判性评估技能计划（CASP）对质量进行了评估。
该评价纳入了13项研究，其中7项（53.8%）包括了研究背景。在这7项研究中，大多数讨论了社区药房背景（n = 3，23.1%），其次是医院药房（n = 1，7.6%），以及两种背景都有涉及（n = 3，23.1%）。这些研究涵盖了多个国家：英国、加拿大、美国、澳大利亚、印度、瑞典和沙特阿拉伯。这些研究讨论了多种医疗卫生信息技术，如电子健康记录和电子处方。报告最多的三个与技术相关的影响因素与数字素养和以技术为导向的定制培训有关（n = 9，69.2%），其次是技术系统特征（n = 6，46.2%）和技术操作（n = 5，38.5%）。与技术相关的实践变革的总体准备水平为中等（n = 7，53.8%）、高（n = 3，23.1%）和低（n = 3，23.1%）。
数字素养、定制培训和系统特征对于提高药剂师采用技术的准备情况至关重要，凸显了在临床实践中改善数字基础设施和互操作性的必要性。
