Table_3_Barriers and facilitators related to healthcare practitioner use of real time prescription monitoring tools in Australia.docx

IntroductionReal time prescription monitoring tools have been implemented in Australia to address the growing concerns of drug misuse, drug-related mortality and morbidity. The objective of this pilot study is to investigate the barriers and facilitators related to healthcare practitioner use of real time prescription monitoring tools.MethodsAn online survey was distributed to Australian prescribers and pharmacists who use a real time prescription monitoring tool. Data analysis included descriptive statistics, chi-square tests and multivariate logistic regression analyses.ResultsA total of 102 questionnaires were analyzed. Practitioners mainly agreed that the tool was easy to use (n = 64; 66.7%) and access (n = 56; 57.7%), and the data was easy to interpret (n = 77; 79.4%). Over half agreed that they wanted training to guide clinical actions (n = 52; 55.9%) and clinical guidelines or guidance on what to do with the RTPM findings (n = 51; 54.8%). Prescribers were more likely to report difficulties with workplace access to a computer or the internet (n = 7; 21.2%) compared with pharmacists (n = 6; 9.2%; p = 0.037). Practitioners working in community settings (n = 59; 57.9%; p = 0.022) and those with 1–10 years practice experience (n = 45; 44.2%; p = 0.036) were more likely to want training to guide clinical actions in response to RTPM information.ConclusionThis is the first known study to investigate the barriers and facilitators related to practitioner use of RTPM tools in Australia. The results from this study can inform further research to gain an understanding of healthcare practitioners use of RTPM tools, and how to minimize barriers and optimize use for the essential delivery of quality healthcare.

为应对药物滥用、药物相关性死亡和发病率不断上升的担忧，澳大利亚已实施实时处方监测工具。本试点研究的目的是探究与医疗从业者使用实时处方监测工具相关的障碍和促进因素。方法：向使用实时处方监测工具的澳大利亚处方医师和药剂师发放在线调查问卷。数据分析包括描述性统计、卡方检验和多元逻辑回归分析。结果：共分析问卷102份。从业者普遍认为该工具易于使用（n=64；66.7%）和访问（n=56；57.7%），且数据易于解读（n=77；79.4%）。超过半数的人同意他们需要培训以指导临床行动（n=52；55.9%）和关于如何处理实时处方监测结果的临床指南或指导（n=51；54.8%）。与药剂师相比，处方医师更可能报告在工作场所访问计算机或互联网的困难（n=7；21.2%）（p=0.037）。在社区环境中工作的从业者（n=59；57.9%；p=0.022）以及拥有1-10年实践经验的从业者（n=45；44.2%；p=0.036）更有可能希望接受培训以指导针对实时处方监测信息的临床行动。结论：这是首次对澳大利亚医疗从业者使用实时处方监测工具的障碍和促进因素进行研究的已知研究。本研究的结果可为进一步研究提供信息，以了解医疗从业者使用实时处方监测工具的情况，以及如何最小化障碍并优化其高质量医疗服务的提供。