Abstract
Purpose: Digitalisation of healthcare in Poland which covers e-prescriptions, e-referrals, and sharing electronic medical records (EMR) on the P1 platform3 is supposed to be fully completed and implemented from 1 January 2021. The success of that implementation is strictly connected to the level of digital skills of both healthcare providers and healthcare service users. The purpose of the present paper is to indicate potential problems which may arise from the digitalisation of healthcare in social groups which are not adapted to using information and communication technologies (ICT) in their day-to-day lives, especially in case of the elderly.
Highlights
The computerisation of healthcare is slowly becoming a reality in Poland
In Siedlce and Skiernie wice, in May 2018, a pilot programme concerning the implementation of e-prescriptions to be delivered to healthcare service users electronically – by e-mail, SMS, or as a printout5 – was introduced
Over 23 000 e-prescriptions used by 5 250 patients were issued within the programme. 10 205 e-prescriptions were filled, which amounts to 44% of total e-prescriptions issued (Kowalska, 2018)
Summary
The computerisation of healthcare is slowly becoming a reality in Poland. Currently, it involves mainly pilot programmes which are realised only in selected voivodships and it only applies to selected functions/services. It is highly probable that in most cases patients will continue to use printouts of e-prescriptions, if only because of the fact that making it possible to receiving them on mobile devices (e.g. smartphones) requires the activation of an ePUAP trusted profile (i.e. Electronic Platform for Public Administration Services), access to one’s. Despite the fact that the obligation of implementing services included in the functionalities related to the full operability of the P1 platform has been already postponed numerous times, problems may arise both on the side of healthcare providers – unprepared for the changes – and on the side of users, the elderly, who use digital solutions less frequently than the general public and, may be threatened with digital exclusion.
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