This study investigated the possibilities and obstacles for cross-border electronic prescriptions within the European internal market. Cross-border electronic prescribing requires interoperability of the systems and use of standardized solutions. We conducted a survey-based case study. A questionnaire on the use of electronic prescriptions was sent by e-mail to the delegates from 14 European Union (EU) member countries and 2 European Economic Area (EEA) countries during spring-summer 2003. A reply was received from 11 delegates in 11 countries contacted. Currently electronic prescriptions are in everyday use in only a few EU member countries, while many others are running or considering pilot projects. We found that electronic prescribing across national borders is impeded by many obstacles, which may relate to other systems or to lack of standardization. Information technology is likely to gradually spread to prescribing in Europe. Before more countries will integrate electronic prescribing into national healthcare, it would be important to ensure interoperability and common standards between national systems. Only then can electronic prescribing offer its full potential, and cross-border electronic prescribing can be realized at the EU level.

译文

:这项研究调查了欧洲内部市场中跨境电子处方的可能性和障碍。跨境电子处方需要系统的互操作性和标准化解决方案的使用。我们进行了基于调查的案例研究。在2003年春夏期间,通过电子邮件向来自14个欧盟(EU)成员国和2个欧洲经济区(EEA)国家的代表发送了有关使用电子处方的调查问卷。收到了来自11个国家的11个代表的答复联系的国家。目前,只有少数几个欧盟成员国每天都在使用电子处方,而其他许多国家正在运行或正在考虑进行试点项目。我们发现,跨越国界的电子处方受到许多障碍的阻碍,这些障碍可能与其他系统或缺乏标准化有关。信息技术很可能会逐渐传播到欧洲。在更多国家将电子处方集成到国家医疗保健之前,确保国家系统之间的互操作性和通用标准很重要。只有这样,电子处方才能发挥其全部潜力,并且可以在欧盟一级实现跨境电子处方。

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