Old Thoughts for consideration

What works for whom, how and why?

How can we help patients to comply with their prescriptions?

  • Reminders are good but they tend to be ignored.
  • Patients should have faith on the e prescription system, minimize it’s avoidable errors.
  • Young people, that are born at the screen era (1992+) are kind of addicted on gaining badges, achievements and recognition on their mobile devices and also share these achievements. Mobile applications that will include the features above as well as reminders and allowing users to enter their daily medication intake in order to gain achievements, may be able to help young people to comply and take their medication.
  • An other big thing today is wearable technologies. Friendly towards IT and people that follow fashion trends might be benefited from this. Instead of just a mobile app, a wearable technology app can be created to roughly do the same thing as well as having some sort of tracker embedded, for example heart rate tracker to assist the patients in their every day life.
  • Wearable technologies may also be able to assist patients with chronic illnesses that they already use a device. If the wearable device can link with the already in use device, then the wearable device might be able to suggest when to take the medicine or how much of it to take. I have in mind diabetes type 1 here. This functionality may also assist people of any age group.

 

Will a different personality person react differently or comply more or less to their prescriptions? I am thinking that some but not all people ignore reminders, would that be an indication of some but not all people comply more to their prescriptions mostly because that’s who they are?

 

How people react towards their medication intake?
Are there specific categories of people that have better or worst attitude towards their prescriptions?
What are PHR, why were they developed and how are they used up to now?
Is the practitioner that prescribed the medication affecting the patient’s attitude towards intake?

PHR allegedly includes all the over the counter medication a patient takes. What will happen if patient does not update that list often? Will that be a problem to safe usage for practitioners?
Is PHR able to access the consistency of each medication?
Are practitioners trusting PHR? Do they save their time or is it a hassle to manually update them every time a patient goes to their office without updating their PHR in advance?

PHR linked with current reminder text system of NHS, thus patients might remember to update it before their appointment.

Inefficient navigation in electronic health records

 

Questions for Literature review:

  • What is evidence-based best practice for patient compliance with prescriptions?
  • What is evidence-based best practice for e-prescriptions system safety on the grounds of patient safety?
  • What areas need further research?

also:

  • What are PHR and what are they used for? What evidence is there that PHR assist in best practice?
  • Categorise the literature of PHR based on the point of view: 1. patients, 2. practitioners, 3. pharmacists, for advantages and disadvantages of PHR?
  • How can PHR to contribute to safer practice?
  • Why are there variations or cases that PHR does not work as intended?

 

P I C O
Patients

Clinicians

(Best Use of) e-prescriptions and/or PHR

 

Current, traditional or not usage of e-prescriptions and/or PHR at all Prescription compliance and Safer care

 

time: for how long will the usage of PHR be measured? 6 months, a year?

 

What is the effect of PHR in patient prescription compliance?

  • Patient is too general can we say outpatients, then children (still all of them?) with chronic diseases and then choose one chronic disease for example diabetes type 1?

What is the relationship between the use of e-prescription systems by patients and safe care for practitioners?

  • Use of the same patient group and should we narrow the practitioners too such as GPs?

What is the best use of e-prescriptions and PHR for patients and clinicians to achieve higher prescription compliance and safer care?

Is the use of PHR and e-prescription systems more effective in prescription compliance and safer care in patients and clinicians?

 

How can medication adherence be improved in adult patients with diabetes type 1?

What is the best use of PHR for primary care clinicians to achieve safer care?

 

What are the best practices doctors can implement regarding PHR and how can e-prescriptions help patients with Diabetes Type 1 adhere to their medication?

 

Final questions:

What are the essential design features of PHR to help adults with type 1 diabetes comply with their medication?

  • add self-managing adults

What are the key safety risks in current e-prescribing (eRx) systems? How can clinicians work most effectively with industry to prioritize and resolve these risks?

  • Instead of clinicians could we have pharmacists or GPs or some other group of clinicians?
  • Which industry? Software development companies or ?
  • Maybe add what are the current eRx systems?

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