| Abstract [eng] |
Author: Greta Zaleskytė. Thesis topic: "Oncologist attitudes and expectations regarding Electronic Prescribing System" Scientific supervisor of the master's thesis: Prof. Dr. Kristina Garuolienė; Vilnius University The aim of the research paper: To evaluate the opinion and expectations of oncologists who prescribe chemotherapy regarding the electronic system of drug administration. Task of the thesis: 1. To find out the opinion of oncologists about the noticeable advantages of the electronic drug prescribing system and to evaluate the benefits of these advantages in daily practice. 2. To find out the opinion of oncologists about the noticeable shortcomings of electronic drug prescribing and to assess their expectations. Methodology: a descriptive quantitative study was carried out, the chosen quantitative research method was electronic anonymous questionnaires. The survey was conducted in the period 04.03.2023 - 05.03.2023. The questionnaires were sent electronically to 56 chemotherapists, 40 radiotherapists, 22 oncohematologists and 27 hematologists (n= 145). 57 oncologists who prescribe chemotherapy answered the questionnaires. MS excel 2021 was used in the study analyses, R commander for Spearmans corelation Conclusions: 1.The study showed that the how respondents evaluate existing and positive aspects of Electronic Prescribing System. About 70 percent stated that e. Health is easy to use, and the same number of respondents answered that it is easier and faster to write e-prescriptions than paper ones. The most clearly visible patient information that was in prescription were name and surname (86%). In some cases, the presumption of the benefit was greater than the physician's knowledge of that function (drug interactions, history of prescribed and purchased medications, electronic prescriptions based on the old one, e-prescriptions based on established templates). This could have happened due to the respondent's own characteristics - lack of knowledge about certain functions, reluctance to accept new functions, etc. It can also be caused by other factors not discussed in the research work – different subsystems in health care institutions, doctor’s workload, etc. Respondents also have a good attitude towards chemotherapeutic functions. 80 percent and more would like to have a specialized chemotherapy system, dose calculators, chemotherapy protocols, warnings related to the administration of chemotherapy, that take into account the patient's clinical parameters. 2. The respondents see the shortcomings of the existing electronic drug prescribing system. Often, existing problems correlated with the expectations. About 80 percent noted that the system tends to crash. About 90% indicated that they would like to see a clear strategy from the governing institutions in this aspect. During the research, it was noticed that the respondents would like existing functions to be optimized - to provide an opportunity to correct a prescription without writing a new one, writing electronic prescriptions by name, writing extemporaneous medicines, writing electronic prescriptions for foreigners (without a personal identification number), etc. Also would like to maintain existing list of drugs and medical devices. Over 90 percent of respondents would like to see warning signals for drug supply disruptions, reimbursement and other restrictions. They would also like pharmaceutical specialists to mark (record) the reason why the medicinal product was not dispensed in the Electronic Prescribing System. |
