Digitalisierung

E-prescription: When is mandatory & how does it work? All information for doctors and patients

The e-prescription was introduced on January 1, 2024 and promises numerous benefits for patients, doctors and pharmacists. At the same time, however, there are also uncertainties. How does the e-prescription work? How can it be exhibited? How do patients receive the prescription and can they also refuse it? We answer these and many other questions from doctors and patients in this article.

19.4.2024
Robert Adam
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output:  Moderner Krankenhausflur mit Empfang und Pflanzen.

The most important questions about e-prescriptions at a glance:

How does the e-prescription work from 2024?

From 2024, the e-prescription generally works as follows:

  1. Doctor's prescription: The doctor creates the prescription electronically in his practice management system (PVS) and signs it digitally with his second-generation electronic health professional ID (eHBA).
  2. Submission to the pharmacy: The electronic prescription is then securely transmitted to the pharmacy via the telematics infrastructure (TI).
  3. Processing in the pharmacy: The e-prescription is received and processed in the pharmacy. The pharmacist can dispense the prescribed medication using the electronic prescription.
  4. Redemption by the patient: The patient can pick up the prescribed medication from the pharmacy by identifying themselves with their electronic health card (eGK) or an e-prescription app.
  5. Optional expression: In some cases, the doctor can also print out the e-prescription and hand it over to the patient, for example for nursing home residents or in other special situations.

What does a person who does not have a smartphone do when there is the e-prescription?

If someone doesn't have a smartphone to receive and use the e-prescription digitally, there are alternative options:

  1. Printout of the e-recipe: The patient can have the e-prescription printed out by the doctor's office or other authorized location and then submit it to a pharmacy.
  2. Using the electronic health card (eGK): In some cases, patients can present their electronic health card (eGK) at the pharmacy to retrieve the e-prescription and receive their prescription medication.
  3. Help from family members or carers: If the patient is unable to manage the e-prescription themselves, family members or caregivers can help by receiving the prescription digitally and picking up the medication.

How long is an electronic prescription valid?

An electronic prescription (e-prescription) is valid for 28 days from the date of issue. Within this period, the patient must redeem the e-prescription at a pharmacy to receive the prescribed medication. After the 28-day period of validity, the e-prescription expires and can no longer be used.

What are the disadvantages of the e-prescription?

Some potential drawbacks of the e-prescription include:

  1. As with any digital technology, technical issues can occur that can affect access to the e-prescription or delay delivery to the pharmacy.
  2. Patients who are not familiar with or have access to the required technology could have difficulty receiving or redeeming e-prescriptions.
  3. There is potential for security gaps associated with the electronic delivery of prescriptions, including risks of forgery or manipulation
  4. Some patients appreciate personal contact with their doctor and pharmacist when prescribing and redeeming medications. The introduction of e-prescriptions could reduce this personal aspect.

Can the pharmacy delete an e-prescription?

No, the pharmacy cannot delete an e-prescription that has already been received. Once submitted, e-prescriptions are part of the electronic health record and cannot be deleted by the pharmacy. However, the pharmacy can update or correct certain information, such as the redemption status of the prescription, if necessary.

When will the e-prescription be introduced?

The e-prescription was introduced from January 1, 2024. As part of the Digital Act, this date was set as the start date for the mandatory use of the e-prescription. It is planned that from this date, doctors will be required to prescribe prescription drugs electronically instead of issuing traditional paper prescriptions.

When is the e-prescription mandatory?

The e-prescription is mandatory from January 1, 2024.

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What does the e-prescription do?

The e-recipe has several advantages, which we present briefly and concisely here:

  1. Increasing efficiency: It simplifies the entire process of prescribing and redeeming medications by reducing paperwork and speeding up the transfer of prescriptions between medical practices and pharmacies.
  2. Improved patient care: The electronic availability of prescriptions allows pharmacists and other healthcare providers to quickly access important medical information, which improves patient care and increases drug safety.
  3. Traceability: E-prescriptions enable better tracking of medications as they are stored digitally in the electronic health record. This makes it easier to monitor a patient's medication history and identify potential interactions or problems.
  4. Environmental friendliness: Reducing paper also reduces the environmental footprint, leading to a more environmentally friendly practice.
Vorteile des E-Rezepts

Are doctors required to issue an e-prescription?

Yes, according to federal government plans, doctors will be required to issue e-prescriptions for prescription drugs from January 1, 2024. This is the result of the Digital Act and the associated provisions on digitization in healthcare.

How does the e-prescription work in a doctor's office?

The e-prescription works with the help of a digital prescription solution. First, the doctor needs apractice management system (PVS for short), which is suitable for issuing e-prescriptions. This system must be connected to an updated connector that connects to Telematics infrastructure (TI) is connected and meets the required safety standards.

The doctor identifies the patient using his electronic health card (eGK) and select the appropriate medication. The medication is then prescribed electronically in PVS. The recipe is digitally signed, usually with the help of a personal electronic health professional card (eHBA) of the second generation.

After issuing the e-prescription, the patient can decide whether to redeem the medication at a local pharmacy or online. In the pharmacy, the e-prescription is retrieved in the telematics infrastructure, the medication is issued and the prescription is then marked as “redeemed.”

Can a patient refuse an e-prescription?

In principle, patients have the right to reject the e-prescription and demand a conventional paper prescription instead. However, it could be that some doctors only issue e-prescriptions, especially if the practice is already fully digitized or legal requirements require this.

It is important to note that the e-prescription is part of the digital healthcare infrastructure and aims to improve the process of prescribing and redeeming medicines. It offers various benefits such as faster processing, less paperwork, and improved security. If you still want to refuse the e-prescription, you should discuss this with your doctor and consider alternative solutions for prescribing and redeeming medications.

How does the patient get the e-prescription?

The patient usually receives the e-prescription electronically. After the doctor has created and signed the prescription electronically, it is securely stored in the telematics infrastructure. The patient can then either via an appon his smartphone or via the electronic health card (eGK) access the recipe.

With the e-prescription app on the smartphone, the patient can view and save the prescription and, if necessary, send it to a pharmacy of their choice. Alternatively, he can retrieve the prescription directly from his eGK when he appears in person at a pharmacy.

In some cases, such as with nursing home residents or in other special situations, it may be necessary for the doctor to provide the patient with a printed version of the e-prescription. This is then usually done on white paper and serves as a reference to the electronic prescription in the telematics infrastructure.

Ein elektronisches Rezept (E-Rezept) hat eine Gültigkeitsdauer von 28 Tagen ab dem Ausstellungsdatum. Innerhalb dieses Zeitraums muss der Patient das E-Rezept in einer Apotheke einlösen, um die verschriebenen Medikamente zu erhalten. Nach Ablauf der 28-tägigen Gültigkeitsdauer verfällt das E-Rezept und kann nicht mehr verwendet werden.

Can the doctor see whether an e-prescription has been redeemed?

Yes, doctors can usually use the e-prescription system to track whether an electronic prescription has been redeemed by the pharmacy. This enables better tracking and monitoring of prescriptions.

Conclusion for patients, doctors and pharmacists

The e-prescription offers numerous benefits for patients, doctors and pharmacists. It increases the efficiency of the prescription process by reducing the use of paper recipes and manual processes. This allows patients to receive their medication faster and easier, as the entire process is accelerated and it is easier to go to the pharmacy.

In addition, the e-recipe minimizes errors that can result from handwriting or manual input and offers greater security and better data protection through encrypted transmission and digital signatures. Both doctors and pharmacists can track the status of an e-prescription and ensure that it has been redeemed.

In addition, the use of e-recipes contributes to environmental protection by reducing paper consumption. Overall, the e-prescription promises to modernize the healthcare system and improve patient care through the use of digital technologies.

Robert Adam

Author

Robert Adam runs SEO & blog marketing for tech startups and SMEs with his agency ClickFound. He is an expert in HealthTech and FinTech.

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