Recently, Arterial Network has learned from communication with industry professionals that the industry is highly concerned about e-prescribing, mainly focusing on the source, nature, specification, and use of e-prescribing, and sharing with Internet hospitals, medical e-commerce, retail pharmacies, and prescriptions. The connection of services such as platforms.
Previously, Xi'an, Chengdu, Chongqing, Tianjin and other places have been piloting the use of electronic prescriptions to sell prescription drugs; at the enterprise level, there are Ali Health, Jingdong, Micromedicine, 1 Medicine Net, Jianke, etc. for Internet medical + electronic prescription + drug sales Attempts, the relationship between e-prescribing and prescription extension has become closer.
It is not easy to block the prescription, and the extension of prescriptions to the outside of the hospital is the trend of the times. The application of electronic prescriptions can regulate the rational use of medicines by pharmaceutical retail enterprises, facilitating the purchase of medicines by patients, especially chronically ill patients, and helping the separation of medicines. At the same time, after the widespread use of electronic prescriptions, Pharmaceutical retailers have brought huge passenger flows and brought incremental sales of prescription drugs.
This article focuses on questions related to e-prescribing, including:
Is the electronic prescription legal?
Which institutions can issue electronic prescriptions?
How to ensure that the electronic prescription is true and effective?
How do electronic prescriptions flow, store, and monitor?
What are the forms of e-prescription applications?
What is the correspondence between e-prescription and prescription outflow?
Electronic prescriptions are reasonable and legal, but are not clearly defined by special laws
Doctors in large hospitals receive dozens of patients every day. There is no time to write prescriptions in a single stroke. Therefore, the handwriting of the doctors in the industry often cannot be recognized and can not be seen. The prescription written by doctors is called "Tianshu".
At this time, the electronic prescription is particularly important. With a mouse click, you can accurately display the medication, usage, and dosage to ensure the safety of medication. Especially after the hospital's informatization level is improved, it is a standard action to prescribe a computer, and the electronic prescription is easy to identify, store, transfer and supervise. So in theory, prescriptions written in digital form are called electronic prescriptions.
Arterial network trial of an electronic prescription prescription system
According to the "Prescription Management Measures", the prescription refers to the medical documents issued by the registered physician in the medical treatment activities, which are reviewed, deployed, checked by the pharmacist who has obtained the professional qualifications of the pharmacy, and used as the patient's medication certificate. Prescriptions include medical orders for medical institutions.
The law also gives the electronic prescription a certain legitimacy: when the doctor uses the computer to issue and deliver the ordinary prescription, the paper prescription should be printed at the same time, the format of which is consistent with the handwritten prescription; the printed paper prescription is signed or stamped effective. When the pharmacist issues the medicine, it should check the printed paper prescription, send it to the medicine after it is correct, and store the printed paper prescription and the computer delivery prescription at the same time for future reference.
So today, whether in the rural health room or in the city's top three hospitals, doctors can prescribe the patient through the computer, and pass and complete the dispensing and review. Qualified doctors can prescribe electronic prescriptions in legally run hospitals, including remote prescriptions for Internet hospitals.
However, there are no specific regulations to determine what electronic prescriptions are, as well as the issuance, review, and supervision of electronic prescriptions. It is speculated that the electronic prescription is already a standard action and is attached to the original regulatory specifications and does not need to be explained.
Electronic signature ensures that the electronic prescription is true and effective
Paper prescriptions can be confirmed by handwriting and signature to determine who is prescribed and who is responsible for the prescription. The same is true for the regulatory principles of electronic prescriptions, which need to be confirmed by electronic signature.
For example, the “Working Program for Electronic Prescription Service for Drug Retail Enterprises (Trial)†issued by Xi’an Food and Drug Administration pointed out that the electronic prescription should comply with the relevant regulations of the health department, and the doctor’s electronic signature is printed on the prescription.
Recently, the “Regulations for the Examination of Prescriptions for Medical Institutions†issued by the Health and Health Commission pointed out that the normative review should pay attention to whether the prescriptions meet the prescribed standards and formats, whether the signatures signed by the prescribing physicians or the special signatures stamped are available for filing, and whether the electronic prescriptions have prescription physicians. Electronic signature.
Electronic prescriptions must meet the requirements of circulation, storage, and supervision
A large application scenario for e-prescribing is to facilitate the prescription docking between medical institutions and retail pharmacies, and to facilitate the pilotation of prescription drugs by electronic prescriptions in retail pharmacies. Special regulations have also been made on the collection, review and deployment of electronic prescriptions.
For example, the Tianjin Market Regulatory Commission issued a notice on March 29, 2018, stating that retail pharmacies can sell prescription drugs on paper prescriptions according to their own drug business needs, or they can use prescriptions to sell prescription drugs based on informational conditions.
Retail pharmacies try to sell prescription drugs by electronic prescription, adopt the method of docking with medical institutions, implement computer networking and obtain electronic prescriptions from medical institutions through information systems, and collect, review, allocate, check and save electronic prescriptions according to regulations. The signatures that should be reviewed, redeployed, and verified by the person on the electronic prescription can be made by electronic signature or by marking in the information system.
The regulations in Tianjin are basically the same as those in Chongqing and Xi'an, and can represent the prevailing regulatory standards of the industry. Therefore, it can be seen that electronic prescriptions, like paper prescriptions, also need to meet the specifications for collection, review, and deployment, and need to be printed and retained for the convenience of regulatory agencies.
In recent years, many pilot retail pharmacies have sold prescription drugs with electronic prescriptions.
Three application forms: electronic prescription + pharmacy, internet hospital (remote prescription), electronic prescription + delivery
At present, there are three main forms of application of electronic prescriptions, namely, retail pharmacies selling prescription drugs with electronic prescriptions, remote prescription models for Internet hospitals, and electronic prescription + delivery models.
From the perspective of prescription sources, there are basically two types—offline hospitals and Internet hospitals; from the way of providing medicines, they include pharmacies, third-party distribution, home shopping, online mailing, etc. Several models are slightly intertwined. Depending on patient needs or drug supply capabilities.
Three application scenarios of e-prescription
E-prescription helps retail pharmacies to sell prescription drugs and increase passenger flow
Chain pharmacies are important recipients of e-prescribing pilots. First, chain pharmacies have certain drug supply support capabilities and pharmacy service capabilities, which can basically meet the needs of out-of-hospital dispensing. Second, e-prescription can regulate the sales of prescription drugs in retail pharmacies, facilitating patients. Compliance and safe medication.
From the patient's point of view, the previous continuation of a chronic disease patient needs to go to the hospital to re-queue, register, time-consuming, and cause strain on doctors. Through the form of remote consultation + electronic prescription, the patient hospital registration process can be eliminated and the efficiency of medical resources can be improved. The more successful models in the industry include Guangdong Internet Hospital, Micromedicine Clinic, and Micro-Question.
The use of e-prescribing brings a shift in the visit/drug process
This model also provides unique differentiated competitiveness for pharmacies. Pharmacy visits to Internet clinics and e-prescribing, increased patient adhesion, pharmacies can provide more pharmacy services and health services, helping pharmacies to create the most Close to the patient's health management center.
Prescription sharing platform + electronic prescription to help achieve "medical separation"
Another major application scenario for e-prescribing is the prescription sharing platform, including WeChat, micro-medicine, easy-to-review, Keyworld and other companies in the layout of this business.
The model of the prescription sharing platform is that the patient completes the treatment in the hospital, the prescription sharing platform and the hospital system docked to share the prescription, and the prescription information is synchronized to the patient through the form of APP, WeChat, webpage, etc., and the patient can choose to take the medicine in the hospital or in the pharmacy outside the hospital.
a prescription sharing platform process
The problem solved by the prescription sharing platform is that the hospital's pharmacy operation pressure under the background of “zero-plus†can reasonably control the proportion of medicines in hospitals, improve the operational efficiency of hospitals, expand and improve its drug catalogue, and improve patient satisfaction.
For patients, it provides a variety of options for purchasing medicines, saving unnecessary medical time. In social pharmacies, patients can also enjoy more comprehensive and continuous pharmacy services.
The core point of the prescription sharing platform is to ensure the authenticity, compliance, and effectiveness of the prescription information, and to eliminate the problem of fake prescriptions and multiple prescriptions for multiple prescriptions. Some companies have introduced blockchain technology into the prescription sharing platform, using blockchain technology to decentralize, traceable, and non-tamperable features to ensure the compliance of prescriptions.
At present, prescription sources, medical insurance co-ordination, drug supply security and pharmacy service capabilities are the main factors that limit the development of prescription sharing platforms. However, some areas have already shared prescriptions in the pilot areas, and opened up the medical insurance pooling fund. The prescription sharing platform is becoming an important landing method for “drug separationâ€.
The widespread use of electronic prescriptions has spawned "smart medicine"
The e-prescription + mail order/distribution model includes Internet hospitals + medical e-commerce, hospital prescription + same-city distribution mode. The former is represented by 1 drug network, Jianke, Jingdong Pharmacy, and the latter is represented by the above-mentioned drug cloud health.
Internet medical enterprise case
The pharmaceutical e-commerce industry is developing at a high speed, but it has been restricted by the restrictions on online sales of prescription drugs and cannot be extended to prescription drug SKUs. It can only be expanded on OTC and non-pharmaceuticals. The Internet hospital model has been recognized as a new development path brought by pharmaceutical e-commerce. Medical e-commerce companies have set up and cooperated in online medical services to establish a closed loop of business.
The Internet + medical e-commerce model is a curvilinear path found under the restrictions of online prescription drugs. It not only solves the problem of prescription source of online prescription drugs, but also provides users with a seamless experience of “medicine + medicineâ€. Become the standard for Internet + hospitals.
There are different paths for the application of electronic medicine prescriptions in Shanghai Pharmaceuticals. Based on the layout of the pharmaceutical circulation network of Shanghai Pharmaceuticals, it is connected to various medical institutions to obtain prescriptions and provide medicines for patients. At the realization and delivery end of the prescription, “Yi Yao·Yun Pharmacy†is an innovative drug warehousing and logistics distribution center, adjacent to the transportation hubs such as the airport, and radiates through the transportation network extending all over the country, providing fast drug delivery services for hospitals and patients. .
The data shows that the health coverage of Shanghai Pharmaceutical Cloud includes public hospitals, community health service centers, private clinics, mobile medical schools, etc., which are located in many major cities across the country, and processed over 2 million electronic prescriptions a year.
Internet hospital + medical e-commerce, e-prescription + distribution have the common point that the drug market information at the distribution end is unified, it can obtain complete drug market information, including drug use structure, regional differences, drug flow, Drug preferences, etc.
For drug supply companies, market data analysis can be carried out to create a “smart medicine†model. For pharmaceutical companies, complete market data also has reference value, including market analysis, product analysis, competitive product analysis, etc., to facilitate its adjustment of market behavior.
Deep integration of e-prescription and prescription outflows, spawning a billion-dollar market
Prescription outflow is an inevitable outcome in the context of the “pharmaceutical separation†policy. With a series of policies such as “zero-plusâ€, control drug share, and medical insurance control fees, prescription outflow is the main trend of drug retailing. Electronic prescription is an economical and efficient method of prescription circulation. The wide application of electronic prescription is one of the preconditions for prescription outflow. Only the electronic prescription is recognized by the industry, and the prescription outflow can be realized.
Prescription outflows include yardside stores, new special pharmacies, prescription sharing platforms, Internet + drug supply, etc. These models rely on the application of electronic prescriptions. With the gradual realization of the prescription outflow, it will have a greater impact on the existing pharmaceutical retail pattern. The existing pharmaceutical retail pattern is dominated by grade hospitals, and retail pharmacies account for a relatively small proportion. In the future, social pharmacies will become the main channel for pharmaceutical retail.
The outflow of prescriptions will bring about a change in the market of social pharmacies, and it will also promote the transformation of the industry, including the differentiation of general pharmacies and professional pharmacies. The pharmacy service capability has become an important competitive indicator for the pharmaceutical retail industry. In the case of tight competition, considering the high saturation of the current pharmaceutical retail industry stores, future mergers and acquisitions and refined management will become the main tone of the industry.
E-prescription is actually an inevitable outcome of technological development, but it has played a more important role in the policy context and has become the connection point between medical and medical. Under the electronic prescription, online medical services and offline medical services have merged, medical services and drug supply have merged, medical systems have improved in operational efficiency, and access to quality medical services and drugs has increased.
It is a professional supplier of Body building products : sarms products ; peptides products ; steroids ; finished oil ; hormone products , and natural active ingredients. It has absolute advantage because of strong research strength, modern management system and high-quality marketing team.
Body building, sarms products,peptides products, steroids, finished oil
Xi'an Henrikang Biotech Co.,Ltd , https://www.henruikangbio.com