Electronic prescriptions in Moscow - convenience for patients or a field for corruption

I think many have heard, but whoever has not heard, will soon be faced with electronic prescriptions. Announcement of the transition to this type of documents in the city of Moscow.

The scheme is simple: the patient comes to a doctor who writes out an electronic prescription in a special database (the EMIAAS program - a single medical information and analytical system), prints out this electronic prescription and passes it to the sick person, he certifies the printout with a seal in the registry and goes to the pharmacy, where receives the necessary medicine. It implies the transition to extracting in this way both preferential recipes, and recipes for the full cost.

It seems that everything is fine. Disappears the need for the pharmacist to understand the clumsy and unreadable handwriting of many doctors (how many such patients returned to the doctor to correct the name of the drug), besides the doctor can immediately tell in which pharmacy nearby is the drug (pharmacies go bankrupt to the gifts of doctors :)) Butthere is one thing but it is connected with our Russian reality, which negates all the advantages.

It's no secret that the number of lobbyist sentiments among pharmaceutical companies has increased recently. An increasing number of domestic and not only pharmaceutical companies are trying to squeeze the use of exclusively Russian-origin drugs on the Russian market or preparations of their own production. In some cases, this is completely justified and replacement can be carried out on analogs painlessly, but in some cases such a replacement can not be made or perhaps with a serious loss of quality. For example, a group of locally produced antibiotics is available to choose from and affect the pathogenic microflora. Talk about the full effectiveness of domestic drugs in the current conditions is not necessary.

And thanks to the electronic prescription, the doctor will not have a choice in terms of prescribing. For example, an order will be ordered to prescribe medicine A and thanks to this system it will be possible to track all those who prescribed medicine B and punish. It seems that everything formally decides the market and there are no bans, but informally it is possible to produce corruption already at the macro level (polyclinic, hospital, producer-state).

At the moment, all corruption is represented at the micro level, namely at the level of an individual unscrupulous doctor who can prescribe the drugs agreed with the pharmaceutical company, but what kind of work is it with each conversation, and there are also principled doctors who will not worry about a poor-quality drug or generic . Sense to negotiate with doctors with the introduction of an electronic prescription in a wide practice will not be, in this plus - specific corruption manifestations at the local level are excluded. But with the managers and chief doctors - it is quite possible. Taking into account the potential income of this system of a limited number of people and the obedience of medical workers, the field for large-scale abuses is significant. If, of course, these interested persons still have access to the statistics of the common base of EMIA, in order to carry out punitive actions against their own initiatives of health workers. If not, then you need to look at the experiment and its results.

And this is only one negative aspect of the system that I could identify. And how many interested people can they find ...

So it will be interesting to look at the implementation of this system in Moscow, where this pilot project is already being tested in work. It would be interesting to know the opinion of those who have already received from the doctor an electronic prescription for use, what pluses or minuses were able to note. Write in the comments.