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医疗保健专业人员对门诊电子处方系统的看法:在UNS医院进行的一项定性研究

Healthcare professionals' perceptions of electronic prescription systems in outpatient services: a qualitative study at UNS hospital.

作者信息

Sudarsono Joko, Satibi Satibi, Lazuardi Lutfan, Widayanti Anna Wahyuni

机构信息

Doctor of Pharmacy Study Program, Faculty of Pharmacy, Universitas Gadjah Mada, Yogyakarta, Indonesia.

Department of Medical Pharmacy, Universitas Sebelas Maret, Surakarta, Indonesia.

出版信息

Cost Eff Resour Alloc. 2025 Jun 18;23(1):31. doi: 10.1186/s12962-025-00639-3.

Abstract

BACKGROUND

The outpatient prescription service at UNS Hospital has traditionally relied on paper-based prescriptions. The outpatient prescription service at UNS Hospital is transitioning from paper-based to electronic prescription systems (EPSs). While existing literature highlights EPS benefits, gaps remain in understanding healthcare professionals' subjective experiences during implementation. This qualitative study explores doctors' and pharmacists' perceptions regarding the motivations, benefits, challenges, readiness, and system development suggestions for EPS implementation in outpatient services at UNS Hospital.

METHODS

In-depth interviews were conducted with six doctors and four pharmacists between January and April 2024. The study participants were prescription doctors and pharmacists at UNS Hospital. The data were analyzed using thematic analysis techniques. Thematic analysis was used to identify the themes that emerged from the interviews.

RESULTS

Five themes emerged: (1) Motivations centered on reducing medication errors and enhancing operational efficiency; (2) Benefits included improved communication, cost control, and streamlined workflows; (3) Readiness revealed pharmacists' enthusiasm versus doctors' cautious adaptation. (4) System suggestions emphasized real-time drug stock integration and advanced search features. (5)Electronic Prescription System Features included Information on adverse drug reaction.

CONCLUSION

While healthcare professionals perceive EPS as beneficial for safety and efficiency, addressing challenges like user training and system interoperability is critical for successful adoption. Implementing participant-driven suggestions, such as real-time inventory alerts, could optimize EPS effectiveness. These insights provide actionable strategies for hospitals transitioning to digital prescribing systems.

摘要

背景

UNS医院的门诊处方服务传统上依赖纸质处方。UNS医院的门诊处方服务正在从纸质处方向电子处方系统(EPS)过渡。虽然现有文献强调了EPS的好处,但在理解实施过程中医疗保健专业人员的主观体验方面仍存在差距。这项定性研究探讨了医生和药剂师对UNS医院门诊服务中实施EPS的动机、好处、挑战、准备情况以及系统开发建议的看法。

方法

2024年1月至4月期间,对6名医生和4名药剂师进行了深入访谈。研究参与者是UNS医院的处方医生和药剂师。使用主题分析技术对数据进行分析。主题分析用于识别访谈中出现的主题。

结果

出现了五个主题:(1)动机集中在减少用药错误和提高运营效率;(2)好处包括改善沟通、成本控制和简化工作流程;(3)准备情况显示药剂师热情高涨,而医生则谨慎适应。(4)系统建议强调实时药品库存整合和高级搜索功能。(5)电子处方系统功能包括药品不良反应信息。

结论

虽然医疗保健专业人员认为EPS对安全性和效率有益,但应对用户培训和系统互操作性等挑战对于成功采用至关重要。实施参与者驱动的建议,如实时库存警报,可以优化EPS的有效性。这些见解为向数字处方系统过渡的医院提供了可操作的策略。

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