一个混合方法评估一般实践和社区药房之间共享电子健康记录的混合方法评估
International journal of clinical pharmacy
|August 7, 2025
概括
授予社区药房阅读和写入共享电子健康记录 (EHR) 的访问是可行的,改善患者安全和专业间的沟通. 成功的整合需要投资于数字基础设施和简化流程,以改善初级保健.
科学领域:
- 数字健康数字健康
- 整合初级保健的整合.
- 医疗信息学 医疗信息学
背景情况:
- 社区药房对于医疗保健的连续性至关重要,但历来缺乏通用实践电子健康记录 (EHR) 的访问权.
- 共享的,可互操作的电子健康记录可以弥合这一差距,重新定义药剂师的临床角色并改善护理协调.
- 整合数字基础设施是提高患者安全和药房与初级保健之间的沟通的关键.
研究的目的:
- 评估社区药房访问共享EHR系统 (SystmOne) 的可行性和可接受性.
- 评估EHR读写访问对患者安全,沟通和服务效率的影响.
- 确定在社区药房设置中成功实施共享EHR的推动因素和障碍.
主要方法:
- 一个为期12个月的混合方法试点研究,涉及35家社区药房和31家普通诊所.
- 从2023年1月到12月通过活动日志,调查和半结构面试收集数据.
- 使用描述性统计数据分析的定量数据;使用主题编码分析的定性数据.
主要成果:
- 13家药房积极使用EHR,记录了超过19,000次预约和16,000次临床记录.
- 报告了患者安全,专业间沟通和服务效率的改善.
- 障碍包括工作量和技术复杂性;支持者是培训,信任和政策调整.
结论:
- 提供社区药房共享EHR访问是可行的,并提高了患者护理整合和安全.
- 通过共享EHR的数字协作意味着药剂师和全科医生角色的重大转变.
- 成功扩展需要投资于互操作性,国家IT基础设施和简化报销,以实现社区药房的全部潜力.
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