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政策法规

美国将帮助医生跟踪患者的处方药使用

来源:环球医学编译    时间:2012年06月26日    点击数:    5星

6月26日消息 - 环球医学据悉,奥巴马政府正在发起一项试点项目,让医生、药剂师和急诊科能更容易地获取患者的处方药记录,以阻止不断上升的致命的药物滥用趋势。

处方药过量现已是美国意外死亡的主导原因,超过车祸和滥用可卡因和海洛因的综合影响。

美国卫生和人类服务部(HHS)的健康IT部门将在印第安那州和俄亥俄州推出试点方案。

美国的49个州批准了此类处方药监测方案,从药房和开业医生处搜集信息。但HHS表示,许多州的医生几乎不用这些数据,因为他们难以靠这些信息指导方向。

“我们正在努力使其尽可能方便,”印第安纳州药剂局的高级主管Marty Allain说。Allain与HHS合作设计试点项目,他说,该项目将把政府数据与电子病例系统相结合,而后者已用于药房和医生的医疗实践中。

医疗服务提供者也抱怨说,现有的数据往往存有长达30天的滞后期,这使得这些信息在决定是否开具处方时变得不那么有效。新系统将改进技术以提供实时数据。

在印第安纳州,该项目将鼓励急诊科医务人员通过已在全州医院应用的电子管理系统直接获取患者的处方历史。HHS说,在一些州,急救人员所开处方占所有管制药物处方中的25%。

在俄亥俄州,该项目将测试一种新的药物风险指标及其对诊所、医院和医生办公室中决策制定的影响。(环球医学)

原文:

U.S. helps doctors track patients' prescription drug use

 The Obama administration is launching a pilot program to make it easier for doctors, pharmacists and emergency departments to access patients' prescription drug records, aiming to stem a rising tide of deadly abuse.

Overdoses from prescription drugs are now the leading cause of accidental deaths in the country, eclipsing car crashes and the combined impact of cocaine and heroin abuse.

The U.S. Department of Health and Human Services' Health IT division will introduce the pilot program in Indiana and Ohio.

Forty-nine U.S. states authorize such prescription drug monitoring programs, which collect information from pharmacies and practitioners. But doctors in many states hardly use the data because of the difficulty in navigating through the information, HHS said.

"We're trying to make it as convenient as possible," said Marty Allain, a senior director at the Indiana Board of Pharmacy. Allain, who worked with HHS to design the pilot program, said it would merge the government data with the electronic health record systems already used in doctors' practices and pharmacies.

Providers have also complained that existing data is often available only after a lag of up to 30 days, saying it makes the information less effective when deciding whether to write a prescription. The new system improves on that technology to provide real-time data.

The program in Indiana will encourage emergency department staff to access patients' prescription history directly through an electronic management system already used in hospitals across the state. HHS said that in some states, emergency providers account for 25 percent of all controlled substance prescriptions.

In Ohio, the program will test a new drug risk indicator and its impact on decision-making in clinics, hospitals and doctor's offices.
 

相关链接:http://www.reuters.com/article/2012/06/22/us-usa-drugs-abuse-idUSBRE85L0VL20120622

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