The safety and quality of online consulting and prescribing services
资金
BNSSCG CCG 研究能力资助（本地发展）
研究问题是什么？
What is the safety and quality of online consulting and prescribing services, and what are the risks, benefits and user experiences of these services?
问题是什么？
NHS and private online healthcare services comprise online doctor websites providing real-time video or questionnaire based medical consultations which may involve issuing a prescription. Online pharmacies offer a range of services including prescribing, mail-order of medicines, and collection and delivery of medicines prescribed by a regular prescriber such as a GP. As online consultations and other online models of care are expanding and evolving, access to and the efficiency of health services are hoped to improve, however, the anticipated benefits are not necessarily being achieved. There is limited understanding of how these new digital capabilities will be integrated in the existing health care system, and whether they will have the intended positive impact on usual care in NHS general practice. As prescribing is a core element of many of these services, it is possible that concerns may extend specifically to the quality and safety of medicines use.
这项研究的目的是什么？
To establish whether the prescribing and dispensing of medicines via online services is safe and appropriate, describe how they impact upon patients’ experiences of care, and evaluate how they fit within the wider service landscape including whether they meet the delivery of the key medicines related priorities outlined in the NHS Long Term Plan such as medicines optimisation and concerns about over-prescribing.
这将如何实现？
The team will conduct a systematic review of existing evidence of benefits and harms of online prescribing, then complete semi-structured interviews with the following groups: clinicians delivering care via new online services; patients receiving care via new online services; clinicians (e.g. GPs) providing usual care to patients who have received other care via new online services; and individuals working within local and national regulatory and monitoring authorities (e.g. CCGs, CQC). They will also investigate the nature of prescribing via online services by reviewing patient prescription items and their corresponding clinical cases.
这将如何实现？
该团队计划测试不同干预措施在改善针对已患有或新发饮食障碍患者的初级保健服务方面的可行性和影响。其中两项干预措施旨在帮助全科医生快速提供适当的支持和转诊服务，另两项干预措施旨在增强患者及其照护者及时寻求适当支持的能力。.
谁在领导这项研究？
鲁珀特·佩恩博士，布里斯托大学人口健康科学学院学术基层医疗中心基层医疗高级顾问讲师。.
更多信息：
如需了解更多信息或参与此项目，请联系我们。 bnssg.research@nhs.net.