Community pharmacies and eHealth services: Barriers and opportunities for real Primary Healthcare integration

Proceedings of the 26th IEEE International Symposium on Computer-Based Medical Systems Pub Date : 2013-06-20 DOI:10.1109/CBMS.2013.6627824

J. Gregório, Tiago Lopes Ferreira, A. Cavaco, M. Silva, C. Lovis, L. Lapão

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引用次数: 7

Abstract

Background: Primary Healthcare (PHC) reforms are presently addressing chronic-disease management. It is of importance to science and society to understand how eHealth services could be developed and used to address the challenges of health services integration like community pharmacies within PHC. Method: Focusing on the two initial steps of Design Science Research Methodology, a mixed methods approach was used with an online survey to collect data on use of Information Technologies (IT) in community pharmacy, followed by an exploratory observational time and business processes study, using the shadowing method. Results: The current state of IT usage in Portuguese community pharmacies is mainly focused on medicine dispensing. Pharmacists spend 50% of their time in patients' interactions, 38% on administrative tasks. Patterns of used time reflect a need to internal reorganization of pharmacies in order to enable eHealth pharmaceutical services provision.

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社区药房和电子卫生服务:初级卫生保健真正整合的障碍和机会

背景:初级卫生保健(PHC)改革目前正在解决慢性病管理问题。了解如何开发和使用电子卫生服务来应对卫生服务整合的挑战，如初级保健中的社区药房，对科学和社会都很重要。方法:以设计科学研究方法的两个初始步骤为重点，采用混合方法，通过在线调查收集社区药房使用信息技术(IT)的数据，然后使用阴影法进行探索性观察时间和业务流程研究。结果:葡萄牙社区药房的IT使用现状主要集中在药品调剂方面。药剂师花50%的时间与病人互动，38%的时间用于管理任务。使用时间的模式反映出需要对药房进行内部重组，以便能够提供电子保健药品服务。

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