해외 전자처방 시스템 사례 연구 -1차 의료에서의 처방전달을 중심으로

Abstract

BACKGROUND This study was conducted to provide insight into the considerations for developing an e-prescription system as a core infrastructure in the era of digital healthcare. METHOD Denmark, Finland, Australia, Germany, and Japan were selected according to the level of spread of e-prescription system in primary health care. Through the latest literature reviews of each country's health authorities website, google, and several academic DBs, each country's case was studied focusing on the history of introduction, system structure and operation, success factors and challenges. RESULTS In all countries surveyed, the e-prescription system was being developed along with personal health record service as a core body of the national medical digitalization strategy. In order to introduce e-prescription system, it was important to invest in standard development and to ensure interoperability between systems. A key challenge for disseminating e-prescription system has been software certification and increasing the acceptance of health care providers based on positive perceptions from successful pilot projects. CONCLUSION We were able to get implications for policy considerations from various overseas cases. Further studies on technical standard details, cost mechanisms, and third party intermediary services are needed.