National Pirogov Memorial Medical University, Vinnytsya, Ukraine
DOI 10.32782/2226-2008-2024-5-14
Introduction. The world is actively moving towards the digitization of all industries, and the health care system is not an exception. A significant part of the countries has implemented or are implementing a system of dispensing prescription drugs by electronic prescriptions. Such a project also started in Ukraine.
The aim of the work is to generalize the experience of implementing systems of dispensing medicines by electronic prescriptions and compare it with the specifics of implementing this program in Ukraine.
Materials and methods. The methods of retrospective, comparative and systematic analysis of the experience of implementing the electronic prescription system in Ukraine and other countries of the world were used.
Results. The system of dispensing medicines based on electronic prescriptions in Ukraine is characterized by the same advantages as in other countries: the automation of accounting processes and the storage of information about written prescriptions, significant improvement of the analytical capabilities of accumulated information, reduction of the number of errors when issuing e-prescriptions, the possibility of repeated prescriptions for chronic patients without visiting medical institutions. However, there are also such differences as the lack of mandatory medical insurance and the technical features of the functioning of medical information systems, which are characterized by extended functionality.
Conclusions. The prospects for the development of the e-prescription system in Ukraine should include the introduction of the practice of patient identification, ensuring the option of prescribing several medicines in one e-prescription, improving the software, providing patient access to information about the prescribed drugs.
Key words: pharmaceutical provision of the population, electronic prescriptions, pharmacies.
REFERENCES
- The Pharmaceutical Group of the European Union. Available from: https://www.pgeu.eu/.
- Common Semantic Strategy for Health in the European Union. Available from: https://health.ec.europa.eu/document/download/92ac8823-19c4-4641-bf4d-5d9bf021a600_en?filename=ev_20190611_co242_en.pdf.
- ISO 17523:2016. Health informatics. Requirements for electronic prescriptions. Available from: https://www.iso.org/standard/59952.html.
- E-prescription Policy Paper. Available from: https://www.ocp.pt/frontend/contents/e-prescription_Policy_Paper.pdf.
- Aldughayfiq B, Sampalli S. Digital Health in Physicians’ and Pharmacists’ Office: A Comparative Study of e-Prescription Systems’ Architecture and Digital Security in Eight Countries. OMICS: A Journal of Integrative Biolog. 2021; 25(2) : 102–122. https://doi.org/10.1089/omi.2020.0085.
- Resolution of the Cabinet of Ministers of Ukraine. 2019 February 27; No. 135 “Some issues of reimbursement of medicines”. Available from: https://zakon.rada.gov.ua/laws/show/135-2019-%D0%BF#Text.
- Order of the Ministry of Healthcare of Ukraine. 19.07.2005; No. 360. “On approval of the Rules for prescribing medicines and medical products, the Procedure for issuing medicines and medical products from pharmacies and their structural divisions, Instructions on the procedure for storage, accounting and destruction prescription forms”. Available from: https:// zakon.rada.gov.ua/laws/show/z0782-05#Text.
- Bilgener E, Bulut S. Evaluation of electronic prescriptions in Turkey: a community pharmacy perspective. Health Policy Technol. 2021; 10 (1): 52–59. https://doi.org/10.1016/j.hlpt.2020.11.003.
- Endalamaw A, Dessie G, Netsere H, et al. Medication Errors in Ethiopia: Systematic Review and Meta-Analysis. 2020. https://doi.org/10.21203/rs.3.rs-35808/v1.
- Thatcher C, Acharya S. RxBlock: towards the design of a distributed immutable electronic prescription system. New Model Anal Health Inform Bioinform. 2020; 9(1): 1–11. doi: 10.1007/s13721-020-00264-5.
- Bruthans J. The state of national electronic prescription systems in the EU in 2018 with special consideration given to interoperability issues. Int J Med Inform. 2020; 141: 104205. doi: 10.1016/j.ijmedinf.2020.104205.
- Imlach F, McKinlay E, Kennedy J, Morris C, Pledger M, Cumming J, McBride-Henry K. E-prescribing and access to prescription medicines during lockdown: experience of patients in Aotearoa. New Zealand. BMC Fam Pract. 2021; 22(1). https://doi.org/10.1186/s12875-021-01490-0.
- Vejdani M, Varmaghani M, Meraji M, Jamali J, Hooshmand E, Vafaee-Najar A. Electronic prescription system requirements: a scoping review. BMC Med Inform Decis Mak. 2022; 22(1): 231. https://doi.org/10.1186/s12911-022-01948-w.
- DeMuro PR, Ash J, Middleton B, Fletcher J, Madison CJ. How Stakeholder Assessment of E-Prescribing Can Help Determine Incentives to Facilitate Management of Care: A Delphi Study. J Manag Care Amp Spec Pharm. 2017; 23(11): 1130–1139. https://doi.org/10.18553/jmcp.2017.23.11.1130.
- Professional Requirements. Online Prescribing. Available from: https://www.cchpca.org/topic/online-prescribing/.
- Rahman Jabin MS, Hammar T. Issues with the Swedish e-prescribing system – An analysis of health information technology-related incident reports using an existing classification system. DIGIT HEALTH. 2022; 11: 8: 205520762211311. https://doi.org/10.1177/20552076221131139.
- E-Prescription Requirements. Medical Board of California. Available from: https://www.mbc.ca.gov/Resources/Medical- Resources/e-prescriptions.aspx.
- The Office of Controlled Substances Administration. Available from: https://health.maryland.gov/ocsa/Pages/Electronic-Prescribing-Waiver-Request-form.aspx.
- Bader Aldughayfiq, Srinivas Sampalli. E-Prescription Systems A Comparative Survey. Available from: https://dcsi.cs.dal.ca/ wp-content/uploads/2021/07/30.pdf.
- Jõgi R, Timonen J, Saastamoinen L, Laius O, Volmer D. Implementation of European Cross-border Electronic Prescription and Electronic Dispensing Service: Cross-sectional Survey. J Med Internet Res. 2023; 25: e42453. https://doi.org/10.2196/42453.