Appl Clin Inform - Lessons Learned from Implementation of Information and Communication Technologies in Spain's Healthcare Services: Issues and Opportunities.

Tópicos

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Resumo

CKGROUND: Spain's health services have undertaken a number of important projects aimed at the creation of Electronic Health Records (EHR) through the incorporation of Information and Communication Technologies (ICT) into patient care practices. The objective of this endeavor is to improve care quality and efficiency and increase responsiveness to the population's needs and demands. Between 2006-2009 over 300 million Euro were invested in projects of this type.OBJECTIVE: To better understand the success criteria, the difficulties encountered and certain issues that must be kept in mind to ensure successful implementation of ICT projects in health organizations, based on Spain's experiences in this field.METHODS: The projects' results are analyzed using the criteria of compliance with the expected scope, cost and time frame.RESULTS: The results can be considered satisfactory in primary care facilities, where almost 90% of Spain's general practitioners, pediatricians and primary care nurses are using electronic health record (EHR) systems. In hospitals EHR implementation is more uneven. Over 40% of Spanish primary care centers and 42% of pharmacies are using electronic prescription (the information system that connects the physician to the dispensing pharmacy and the dispensing pharmacy to the payer).DISCUSSION: All of Spain's health services are currently carrying out projects involving ICT application in healthcare, and a priori the benefits of ICT are not questioned. However, the costs and time frames required for these projects are clearly surpassing initial expectations, while the benefits perceived by both professionals and institutions remain limited. This situation may be due in part to the absence of a project management culture in the health services, which has led them to pay insufficient attention to the main difficulties and key issues related to the implementation of EHR.

Resumo Limpo

ckground spain health servic undertaken number import project aim creation electron health record ehr incorpor inform communic technolog ict patient care practic object endeavor improv care qualiti effici increas respons popul need demand million euro invest project typeobject better understand success criteria difficulti encount certain issu must kept mind ensur success implement ict project health organ base spain experi fieldmethod project result analyz use criteria complianc expect scope cost time frameresult result can consid satisfactori primari care facil almost spain general practition pediatrician primari care nurs use electron health record ehr system hospit ehr implement uneven spanish primari care center pharmaci use electron prescript inform system connect physician dispens pharmaci dispens pharmaci payerdiscuss spain health servic current carri project involv ict applic healthcar priori benefit ict question howev cost time frame requir project clear surpass initi expect benefit perceiv profession institut remain limit situat may due part absenc project manag cultur health servic led pay insuffici attent main difficulti key issu relat implement ehr

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