Concept and Practice of Electronic
Prescription

Bruthans, Jan; Kofránek, Jiří; Vojtěch, Adam

doi:10.35191/medsoft_2021_1_33_89_92

Cited by 2 publications

(1 citation statement)

References 22 publications

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“…Some of the EU states (Denmark, Sweden, and the Netherlands) pioneered the first EPS nearly forty years ago [ 2 ] with a rapid spread over the last ten years. At present, most EU states have operational and widely-used EPS at a national level [ 3 ]. The same applies to EHR, which is at present functional at least in some EU states [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

The Current State and Usage of European Electronic Cross-border Health Services (eHDSI)

Bruthans

Jiráková²

2023

J Med Syst

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Introduction: European Union intends to enable cross-border health services through a program referred to as “MyHealth@EU”. The first main service is the dispensation of medicine by interlinking national electronic prescription systems. The second one is the Patient Summary, which enables providing the basic set of patients’ medical data. Methods: The contemporary technical documentation of the project was studied and selected published Key Performance Indicators of the project were analyzed. Where necessary, data were acquired directly from the European Commission. Results: Data from the start of the project (fourth quarter of 2019) until the second quarter of 2022 were analyzed. During this time both the overall number of EU countries with operational cross-border healthcare and their particular abilities in both services have risen. At present, there are eleven countries with capabilities in at least one of the services, of which nine have reported transactions. More countries are in the test phase now and will join the operational phase of the project shortly. Discussion and Conclusion: Nevertheless, the program is still used mostly for testing purposes. It seems that only electronic prescription and dispensation are commonly and widely used so far and only Estonian and Finnish patients usually get their medication dispensed abroad. The rest of the operational countries is still at present missing country pairs with a strong cross-border use case.

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Section: Introductionmentioning

confidence: 99%

The Current State and Usage of European Electronic Cross-border Health Services (eHDSI)

Bruthans

Jiráková²

2023

J Med Syst

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Challenges and Solutions in Implementing Electronic Prescribing: A Qualitative Study

Borhani,

Hooshmand,

Zarqi

et al. 2024

Preprint

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Background The use of electronic prescribing is recognized as a strategic tool for improving healthcare. Given the nationwide implementation of electronic prescribing systems initiated in 2020, this study aims to explore the challenges and solutions for implementing electronic prescribing in Iran's health system as a developing country. Methods This qualitative study was conducted through interviews with physicians, pharmacy staff, and electronic prescribing representatives in 2023. Initially, three in-depth interviews were conducted to develop the interview questions, resulting in three separate interview guides for each participant group (supplementary file no.1 ). Participants were purposively selected, including 12 physicians, 15 electronic prescribing representatives, and 9 pharmacy staff members. Interviews continued until data saturation was reached. The interviews were recorded, transcribed, and analyzed using content analysis with MAXQDA version 10 software. To identify challenges, sessions were held, and a final list of challenges was categorized. In the final stage, expert panels were formed to propose solutions. Result The challenges identified in this study were categorized into two main domains: "Organizational Challenges" and "Systemic Challenges." Organizational challenges included issues related to insurance (16 cases), patient referrals (4 cases), stakeholder education and communication (6 cases), and supervision (8 cases). Systemic challenges included infrastructure problems (18 cases), user interface (UI) issues (14 cases), and database issues (10 cases). The primary challenges in implementing electronic prescribing were system downtime and sluggishness, internet connectivity issues, and the existence of multiple insurance systems. Expert panel discussions resulted in proposed solutions, including the uniform design of software by the Ministry of Health, the establishment of an integrated electronic referral system, conducting practical training sessions for physicians, and implementing electronic signatures. Conclusion Electronic prescribing in Iran is still in its early stages and will inevitably face challenges and problems. Continuous monitoring of electronic prescribing systems is essential to address implementation issues promptly. Overall, improvements in infrastructure, integration of insurance systems, implementation of electronic signatures, adherence to electronic prescribing standards, and provision of practical training are recommended.

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Concept and Practice of Electronic Prescription

Cited by 2 publications

References 22 publications

The Current State and Usage of European Electronic Cross-border Health Services (eHDSI)

The Current State and Usage of European Electronic Cross-border Health Services (eHDSI)

Challenges and Solutions in Implementing Electronic Prescribing: A Qualitative Study

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