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发展中国家的电子医药管理系统:景观审查
Andrew Lambarth1,2, Dalia Wainwright3, Trisha Saha4
1Department of Clinical Pharmacology and Therapeutics, City St George's, University of London, London, UK.
British journal of clinical pharmacology
|July 1, 2025
概括
电子药物管理系统 (EMMS) 在发展中国家越来越多地被采用,通常与电子健康记录 (EHR) 集成. 这项研究绘制了它们的使用地图,突出了优化药物管理和改善患者治疗结果的机会.
科学领域:
- 医疗信息学 医疗信息学
- 全球健康 全球健康
- 制药管理 制药管理
背景情况:
- 低于最佳的药物使用导致全球显著的健康成本,并对患者造成伤害.
- 电子药物管理系统 (EMMS) 为提高药物的安全和有效使用提供了解决方案.
- 发展中国家在医疗数字化方面面临着独特的挑战,但有些国家已经成功实施了数字医疗解决方案.
研究的目的:
- 在发展中国家 (DCs) 系统地绘制EMMS实施和使用的格局.
- 确定EMMS在DC中的趋势,设置,功能和常见用例.
- 为决策者和医疗保健领导者提供见解,以指导数字健康倡议的战略和资金.
主要方法:
- 系统搜索六个文献数据库,截至2024年10月23日.
- 包括报告EMMS实施/使用在人类发展指数 (HDI) 低于"非常高"的国家的研究.
- 定性和定量数据的总结,包括地理位置,医疗保健环境,系统功能以及与其他健康数据 (例如,电子健康记录) 的整合.
- 创建一个交互式地图以可视化空间和时间趋势.
主要成果:
- 314个记录详细介绍了45个DC的EMMS使用情况,其中206个与其他健康数据 (如EHR) 整合在一起.
- EMMS主要用于处方 (264项研究) 和分发 (66项研究),主要用于二级护理机构.
- 系统通常在当地运行,在艾滋病毒和结核病治疗的遵守监测中常见的应用.
- 调查结果显示,广泛采用和持续的落实差距.
结论:
- 在DC中采用EMMS很常见,经常与EHR一起,这表明医疗数字化取得了进展.
- 利用现有的EMMS可以提高服务规划,医疗保健提供和药物使用优化.
- 该研究提供了在资源有限的环境中实施EMMS的路线图,并强调了互操作性的潜力,以改善患者的治疗结果.
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