背景:电子处方(e-处方)系统可以带来许多优点和挑战。该系统已在伊朗启动两年多。本研究旨在从医生的角度探讨电子处方系统的挑战和优势。
方法:在本调查研究和主题分析中,这项研究于2023年进行,根据文献综述和研究小组成员的意见,制作了一份由研究者制作的问卷,并提供给医生.定量数据采用SPSS软件进行分析,定性数据使用ATLAS进行分析。ti软件。Rankandpointbiserial,肯德尔的taub,和Phi用于研究变量之间的相关性。
结果:84名医生参与了这项研究,71.4%的人更喜欢使用纸质处方。根据结果,53.6%,38.1%,和8.3%的医生低,中等,对这个系统的总体满意度很高,分别。性别和对电子处方系统的总体满意度(p值=0.009)与计算机技能水平和处方方法(P值=0.042)之间存在统计学上的显着相关性。医生在这个系统中面临许多挑战,它可以分为五大类:技术,患者相关,医疗保健提供者相关,人力资源,以及建筑和设计问题。此外,电子处方系统的主要优点是流程改进,经济效率,并提高处方的准确性。
结论:托管机构和服务提供商组织应升级必要的信息技术基础设施,包括硬件,软件,和网络基础设施。此外,将最终用户的观点纳入系统设计过程将是有益的。
BACKGROUND: Electronic prescribing (e-prescribing) systems can bring many
advantages and challenges. This system has been launched in Iran for more than two years. This study aimed to investigate the challenges and
advantages of the e-prescribing system from the point of view of physicians.
METHODS: In this survey study and thematic analysis, which was conducted in 2023, a researcher-made questionnaire was created based on the literature review and opinions of the research team members and provided to the physician. Quantitative data were analyzed using SPSS software, and qualitative data were analyzed using ATLAS.ti software. Rank and point biserial, Kendall\'s tau b, and Phi were used to investigate the correlation between variables.
RESULTS: Eighty-four physicians participated in this study, and 71.4% preferred to use paper-based prescribing. According to the results, 53.6%, 38.1%, and 8.3% of physicians had low, medium, and high overall satisfaction with this system, respectively. There was a statistically significant correlation between the sex and overall satisfaction with the e-prescribing system (p-value = 0.009) and the computer skill level and the prescribing methods (P-value = 0.042). Physicians face many challenges with this system, which can be divided into five main categories: technical, patient-related, healthcare providers-related, human resources, and architectural and design issues. Also, the main
advantages of the e-prescribing system were process improvement, economic efficiency, and enhanced prescribing accuracy.
CONCLUSIONS: The custodian and service provider organizations should upgrade the necessary information technology infrastructures, including hardware, software, and network infrastructures. Furthermore, it would be beneficial to incorporate the perspectives of end users in the system design process.