I-Pros and Cons ye-E-Prescribing

I-E-prescribing iyindlela yokudlulisa imithi kadokotela noma ulwazi oluhlobene nomuthi phakathi kwe-prescriber noma i-dispenser ngendlela ye-elektroniki ngokuqondile noma ngokusebenzisa inethiwekhi e-e-prescribing. I-prescriber ibhekisela odokotela, abasizi bezokwelapha, noma ezinye izisebenzi ezilayisensiwe noma ezibhalisiwe ezivunyelwe ukukhipha izidakamizwa zemithi noma imikhiqizo. I-dispenser ibhekisela kumakhemikhali noma omunye oqeqeshiwe noma obhalisiwe ochwepheshe ovunyelwe ukuhlinzeka ngezidakamizwa noma imikhiqizo.

Ukuthengiselana okubhekwa njengokuthi ubizwa nge-e-prescribing kufaka:

• Imininingwana Entsha
• I-refill
• Izinguquko
• Ukukhansela

Ukufakwa komthetho we-Medicare Modernization Act (MMA) ka-2003 kwanikezela ukunyakaza, kanti ngoJulayi 2006 Institute of Medicine kubika indima yoku-e-prescribing ekunciphiseni amaphutha emithi athola ukusabalalisa okubanzi, okusiza ekwakheni ukuqwashisa nge-e Ukudlala indima ekuthuthukiseni ukuphepha kwesiguli. Ukwamukela izindinganiso ukulungiselela uku-e-prescribing ingenye yezenzo ezibalulekile ezenzweni ohlelweni lukahulumeni lokusheshisa ukwemukelwa kwamarekhodi wezokwelapha zobuchwepheshe futhi ukwakhiwa kwengqalasizinda yolwazi lwezempilo ye-elektroniki e-United States.

Funda kabanzi mayelana ne-e-prescribing kubandakanya izindleko nezinkinga zomthetho.

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Izici ezifanelekayo

Ngokusho kohlelo lwe-E-Prescribing Incentive Programme, uhlelo olufanelekayo lokuhlela uhlelo lukwazi konke okulandelayo:

• Ukukhiqiza uhlu oluphelele lwezokwelapha olufaka idatha egciniwe etholakala kuma-pharmacy asebenzayo nabaphathi bezinsizakalo ze-pharmacy (i-PBMs) (uma ikhona)
• Khetha imithi, ukuphrinta imiyalelo, ukuhambisa ngemigomo ngemishini, nokuziphatha zonke izixwayiso (kufaka phakathi okuzenzakalelayo)
• Nikeza ulwazi oluhlobene nezindleko eziphansi, izindlela zokwelapha ezifanelekile
• Nikeza ulwazi ngemithi ye-formulary noma ye-formulaire ye-formulary, ukufaneleka kwesiguli, nezimfuneko zokugunyazwa ezitholwa nge-elektroniki kusuka ohlelweni lwesiguli sesiguli
• Hlanganisa imininingwane yokuthumela imiyalezo

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Izindleko

Izindleko zokuqalisa isimiso se-e-ehhovisi lezokwelapha zizohluka ngokususelwa ngobukhulu nendawo. Ngaphambi kokwenza isinqumo sokufaka uhlelo lwe-e-prescribing, izici eziningana kufanele zibhekwe njengezihambisana nezindleko. Ukuthengwa kwemishini nesofthiwe, izimali zenyanga, nokugcinwa okuqhubekayo noma ukuthuthukiswa kuyizinto ezimbalwa okufanele uzicabangele.

Izinzuzo

• I-CMS ingakwazi ukukhokha izindleko ngokusebenzisa imizamo e-e-prescribing.
• Ungafakwa noma wengeze ohlelweni lwe-EMR ekhona
• Igcina isikhathi ekusebenzeni izicelo zokugcwalisa izidakamizwa ezigcina izindleko zokusebenza

I-Cons

• Ukuthenga nokufaka uhlelo olusha lomkhiqizo kungabiza
• Izindleko zifaka futhi imali ekhokhwayo kanye nokugcinwa

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Ukukhiqiza

Noma kunini uhlelo olusha noma inqubo esetshenziswa ngaphakathi ehhovisi lezokwelapha, umkhiqizo ungathinteka. Ezinye izinguquko zandisa umkhiqizo noma zinciphisa ukukhiqiza ngokushesha noma ngaphezulu kwesikhathi ngenkathi abasebenzi bejwayele noma befunda uhlelo olusha. Isivimbela esikhulu singase sibe ukumelana nokushintsha kokubili abasebenzi kanye nodokotela.

Izinzuzo

• Ukuxhumeka okusheshayo ekhemisi kuyashesha kunomakhalekhukhwini wendabuko
• Kunciphisa isikhathi esithathayo ukucela ukulungisa imithi
• Ukwandisa ijubane lama-callbacks
• Kuncipha isikhathi kuthatha ukufaneleka kokuqinisekisa

I-Cons

• Kwangathi okwesikhashana kuthinte ukuhamba komsebenzi wehhovisi lezokwelapha
• Ukufakwa kunganciphisa izinqubo zamanje
• Abasebenzi be-Medical Office kanye nokuqeqesha odokotela kunganciphisa ukukhiqiza

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Legal

Abaningi embonini yezokunakekelwa kwezempilo abaqondi ukuthi ukubeka izidakamizwa kuyinkinga esemthethweni. Ngokucabangela izindinganiso ezithathwe yi-CMS, ezinye izindlela ezisehhovisi lezokwelapha manje zibhekwa njengezingenasiphelo. Ngaphandle kwamaphutha okubhala ngesandla angase akwenze, ukuthengiselana okubandakanya ukuxuba noma ukwephulwa kwemfihlo yesiguli kungahle kuwele esigabeni somthetho.

Izinzuzo

• Iqeda amaphutha okubhala ngesandla
• Kunciphisa ingozi yamaphutha ngenxa yokuxuba okungenzeka ngefoni
• Ezinye izinhlelo zivumela ukuhlolwa okuphambene nomlando wezokwelapha we-elektroniki ukuze kunciphise imiphumela emibi

I-Cons

• Izivikelo kudingeka zithathwe ukuvimbela ukuphulwa kolwazi lwesiguli esiyimfihlo
• Isofthiwe yokuphepha idinga ukufakwa kuwo wonke amadivayisi kufaka ngesandla

> Umthombo:

> "Uhlelo lokukhuthaza i-Electronic Prescribing (eRx)." cms.gov.