It should also be noted that prescription medication has its particularity, and the safety of medication must be strictly guaranteed. Prescription drugs usually have certain side effects and other potential effects, and often have special requirements on the method and time of medication, so they should be used under the guidance of doctors. In physical medical institutions, prescriptions are issued by medical practitioners; Only after the clinical pharmacists in medical institutions check and check, patients can get the medicine. Therefore, the Administrative Measures for Internet Diagnosis and Treatment (Trial) stipulates that online prescriptions must be electronically signed by doctors. Medical institutions and pharmaceutical trading enterprises may entrust qualified third-party institutions to distribute drugs after being audited by pharmacists.
Whether the source of online prescription is reliable and the quality can be guaranteed is related to the safety of medication and is also a practical concern of people. In some places, some electronic prescriptions are transferred to drug retail institutions, and patients can also buy prescription drugs. According to the process specifications of entity medical institutions, the drugs prescribed must be symptomatic, consistent with the diagnosis of practicing doctors, in line with clinical guidelines, scientific and reasonable in usage and dosage, and take into account the patient's age, allergic history, basic diseases and other factors. If you encounter problems or adverse reactions, you can also feedback and trace them through corresponding channels. Clinical pharmacists' prescription audit and medication monitoring system play an important role in ensuring medication safety. However, Internet prescriptions do not necessarily have a prescription review system. Coupled with the shortage of professional pharmacists, some Internet hospitals and third-party platforms have problems such as prescribing drugs first, filling prescriptions later and over-prescribing drugs.
Clinical pharmacists are held by personnel with professional and technical qualifications in pharmacy, and can guide practitioners to prescribe. It is suggested to implement the principle of online and offline consistency, so that professional clinical pharmacists can review Internet prescriptions. For example, a prescription audit center for clinical pharmacists can be established in a certain geographical area to conduct remote centralized prescription audit. At the same time, relevant regulations can be improved, and Internet technology can be used for efficient supervision and traceability management. For example, to clarify the information such as the source of online electronic prescriptions and electronic signatures, standardize the process of clinical pharmacists' examination and diagnosis of drugs, and provide channels for patients' medication information feedback, and so on. In addition, if Internet electronic prescriptions are transferred to retail pharmacies, they should also be certified and supervised in terms of pharmacy qualifications, and the source of prescriptions and the standards for reviewing prescriptions should be managed according to the same principles to ensure that the whole process of Internet prescriptions is safe and controllable.
At present, there are more than 1600 internet hospitals in China, and it is increasingly popular to purchase drugs through follow-up visits to internet hospitals. Strictly observing the "last mile" of prescription drugs reaching patients on the Internet to ensure the safety of drug use is related to people's health, and it is also an important aspect to promote the healthy and orderly development of the new format of "Internet+medical health". Only by speeding up the improvement of Internet diagnosis and treatment, prescription medication, better ensuring the demand for medical treatment and drug purchase services, and reassuring people to go online and offline for medical treatment and drug purchase, can we continuously improve people's health level and promote the construction of a healthy China through actions.