An Experience of Electronic Health Records Implementation in a Mexican Region
| Autor: | Isabel de la Torre-Díez, Gonçalo Marques, Jon Arambarri, Gema Castillo-Sánchez, Belmar Mex Uc |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
020205 medical informatics Medical Records Systems Computerized Computer science Health information technology Attitude of Health Personnel Medicine (miscellaneous) Medical equipment Health Informatics 02 engineering and technology Health informatics Technical support Health Information Management Health care 0202 electrical engineering electronic engineering information engineering medicine Electronic Health Records Humans Operations management Requirements analysis Mexico Strategic planning Primary Health Care business.industry Attitude to Computers Public health Health Plan Implementation Decision Support Systems Clinical business Information Systems |
| Zdroj: | Journal of medical systems. 44(6) |
| ISSN: | 1573-689X |
| Popis: | Employing software engineering to build an integrated, standardized, and scalable solution is closely associated with the healthcare domain. Furthermore, new diagnostic techniques have been developed to obtain better results in less time, saving costs, and bringing services closer to the most unprotected areas. This paper presents the integration of a top-notch component, such as hardware, software, telecommunications, and medical equipment, to produce a complete system of Electronic Health Record (EHR). The EHR implementation aims to contribute to the expansion of the health services offer concerning people who live in locations where typically have difficult access to medical care. The methodology throughout the work is a Strategic Planning to set priorities, focus energy and resources, strengthen operations, ensure that directors, managers, employees, and other stakeholders are working toward common goals, establish agreement around intended outcomes/results. A medical and technical team is incorporated to complete the tasks of process and requirements analysis, software coding and design, technical support, training, and coaching for EHR system users throughout the implementation process. The adoption of those tools reflect notably some expected results and benefits on patient care. The EHR implementation ensures that information collection does not duplicate already existing information or duplicate effort and maximize the practical use of the data collected. Moreover, the EHR reduces mistakes in hospital readmissions, improves paperwork, promotes the progress of the state’s health care system providing emergency, specialty, and primary health care in a rural area of Campeche. The EHR implementation is critical to support decision making and to promote public health. The total number of consults increased markedly from 2012 (14021) to 2019 (34751). The most commonly treated diseases in this region of Mexico are hypertension (17632) and diabetes (13156). The best results are obtained in the Nutrition (20,61%) and clinical psychology services (16,67%), and the worst levels are registered in pediatric and surgical oncology services where only 1,59% and 1,97% of the patients are admitted in less than 30 min, respectively. |
| Databáze: | OpenAIRE |
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