Cargando…

Assessment of the operation status of electronic prescription at community pharmacies in Chengdu, China: a simulated patient study

BACKGROUND: Information and technologies relevant to eHealth have developed rapidly over the past two decades. Based on this, China piloted "Internet + " pattern and some regions piloted electronic prescription services to explore telepharmacy services. OBJECTIVE: To describe the processes...

Descripción completa

Detalles Bibliográficos
Autores principales: Zhou, Wenxin, Wang, Jing, Chen, Qinmin, Huang, Zhen, Zhou, Naitong, Hu, Ming
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10466720/
https://www.ncbi.nlm.nih.gov/pubmed/37644463
http://dx.doi.org/10.1186/s12913-023-09742-8
_version_ 1785098950855884800
author Zhou, Wenxin
Wang, Jing
Chen, Qinmin
Huang, Zhen
Zhou, Naitong
Hu, Ming
author_facet Zhou, Wenxin
Wang, Jing
Chen, Qinmin
Huang, Zhen
Zhou, Naitong
Hu, Ming
author_sort Zhou, Wenxin
collection PubMed
description BACKGROUND: Information and technologies relevant to eHealth have developed rapidly over the past two decades. Based on this, China piloted "Internet + " pattern and some regions piloted electronic prescription services to explore telepharmacy services. OBJECTIVE: To describe the processes and assess the operation status of electronic prescription services mode for community pharmacies in China. METHODS: The simulated patient methodology was used to conduct a cross-sectional study in 317 community pharmacies from six districts in Chengdu, China in 2019. Simulated patients expressed three levels of service demands based on scenario about acute upper respiratory tract infections to evaluate the recommendation strength of electronic prescription services and telepharmacy service in community pharmacies. The descriptive statistics was completed to obtain the characteristics of the visit process, student t-test and χ(2) test (P < 0.05 was considered statistically significant) were used for inferential statistical analysis to determine differences in characteristics and degree of recommendation between pharmacies. RESULTS: Three Hundred Seventeen record sheets were effectively collected. The third-party platform was recommended in 195 (61.5%) interactions. The main reason for not recommending is non-prescription dispensing of prescription drugs (27.1%). 90.3% interactions waited less than 1 min, the counseling duration was less than 5 min in all interactions, and most community pharmacies had good network conditions (81.5%). 97.4% remote physicians offered professional counseling, only 22.1% of the pharmacists provided medication advice. CONCLUSIONS: The electronic prescription services mode for community pharmacies in Chengdu provides a convenient drug purchase process but remains some problems. For example, prescribing drugs without a prescription and services provided by pharmacists was poor, etc. The relevant supporting policies should be improved in future development process. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-023-09742-8.
format Online
Article
Text
id pubmed-10466720
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-104667202023-08-31 Assessment of the operation status of electronic prescription at community pharmacies in Chengdu, China: a simulated patient study Zhou, Wenxin Wang, Jing Chen, Qinmin Huang, Zhen Zhou, Naitong Hu, Ming BMC Health Serv Res Research Article BACKGROUND: Information and technologies relevant to eHealth have developed rapidly over the past two decades. Based on this, China piloted "Internet + " pattern and some regions piloted electronic prescription services to explore telepharmacy services. OBJECTIVE: To describe the processes and assess the operation status of electronic prescription services mode for community pharmacies in China. METHODS: The simulated patient methodology was used to conduct a cross-sectional study in 317 community pharmacies from six districts in Chengdu, China in 2019. Simulated patients expressed three levels of service demands based on scenario about acute upper respiratory tract infections to evaluate the recommendation strength of electronic prescription services and telepharmacy service in community pharmacies. The descriptive statistics was completed to obtain the characteristics of the visit process, student t-test and χ(2) test (P < 0.05 was considered statistically significant) were used for inferential statistical analysis to determine differences in characteristics and degree of recommendation between pharmacies. RESULTS: Three Hundred Seventeen record sheets were effectively collected. The third-party platform was recommended in 195 (61.5%) interactions. The main reason for not recommending is non-prescription dispensing of prescription drugs (27.1%). 90.3% interactions waited less than 1 min, the counseling duration was less than 5 min in all interactions, and most community pharmacies had good network conditions (81.5%). 97.4% remote physicians offered professional counseling, only 22.1% of the pharmacists provided medication advice. CONCLUSIONS: The electronic prescription services mode for community pharmacies in Chengdu provides a convenient drug purchase process but remains some problems. For example, prescribing drugs without a prescription and services provided by pharmacists was poor, etc. The relevant supporting policies should be improved in future development process. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-023-09742-8. BioMed Central 2023-08-29 /pmc/articles/PMC10466720/ /pubmed/37644463 http://dx.doi.org/10.1186/s12913-023-09742-8 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Zhou, Wenxin
Wang, Jing
Chen, Qinmin
Huang, Zhen
Zhou, Naitong
Hu, Ming
Assessment of the operation status of electronic prescription at community pharmacies in Chengdu, China: a simulated patient study
title Assessment of the operation status of electronic prescription at community pharmacies in Chengdu, China: a simulated patient study
title_full Assessment of the operation status of electronic prescription at community pharmacies in Chengdu, China: a simulated patient study
title_fullStr Assessment of the operation status of electronic prescription at community pharmacies in Chengdu, China: a simulated patient study
title_full_unstemmed Assessment of the operation status of electronic prescription at community pharmacies in Chengdu, China: a simulated patient study
title_short Assessment of the operation status of electronic prescription at community pharmacies in Chengdu, China: a simulated patient study
title_sort assessment of the operation status of electronic prescription at community pharmacies in chengdu, china: a simulated patient study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10466720/
https://www.ncbi.nlm.nih.gov/pubmed/37644463
http://dx.doi.org/10.1186/s12913-023-09742-8
work_keys_str_mv AT zhouwenxin assessmentoftheoperationstatusofelectronicprescriptionatcommunitypharmaciesinchengduchinaasimulatedpatientstudy
AT wangjing assessmentoftheoperationstatusofelectronicprescriptionatcommunitypharmaciesinchengduchinaasimulatedpatientstudy
AT chenqinmin assessmentoftheoperationstatusofelectronicprescriptionatcommunitypharmaciesinchengduchinaasimulatedpatientstudy
AT huangzhen assessmentoftheoperationstatusofelectronicprescriptionatcommunitypharmaciesinchengduchinaasimulatedpatientstudy
AT zhounaitong assessmentoftheoperationstatusofelectronicprescriptionatcommunitypharmaciesinchengduchinaasimulatedpatientstudy
AT huming assessmentoftheoperationstatusofelectronicprescriptionatcommunitypharmaciesinchengduchinaasimulatedpatientstudy