An Experience of Electronic Health Records Implementation in a Mexican Region.

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 unprot...

Descripción completa

Detalles Bibliográficos
Publicado en:Journal of Medical Systems Vol. 44; no. 6; pp. 1 - 9
Autores principales: Uc, Belmar Mex, Castillo-Sánchez, Gema, Marques, Gonçalo, Arambarri, Jon, de la Torre-Díez, Isabel
Formato: research tables/charts Journal Article
Publicado: Springer Nature Jun2020
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=143571481&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 143571481
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        01485598
        4N0
      jtl: Journal of Medical Systems
      issn: 01485598
      maglogo: N
    pubinfo:
      dt: Jun2020
      vid: 44
      iid: 6
      pid: 237
      pub: Springer Nature
      place: New York, New York
    artinfo:
      ui:
        143571481
        143571481
        143571481
        10.1007/s10916-020-01575-w
        143571481
      ppf: 1
      ppct: 8
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: P
      tig:
        atl: An Experience of Electronic Health Records Implementation in a Mexican Region.
      aug:
        au:
          Uc, Belmar Mex
          Castillo-Sánchez, Gema
          Marques, Gonçalo
          Arambarri, Jon
          de la Torre-Díez, Isabel
        affil: Head of the Software Department, in the Subdirectorate of Information Technology, of the Secretary of Health of the State of Campeche, Campeche, Mexico
      sug:
        subj:
          Electronic Health Records
          Systems Implementation
          Program Implementation Mexico
          Human
          Descriptive Statistics
          Funding Source
          Mexico
          Computer Hardware
          Software
          Telecommunications
          Health Services Accessibility
          Medically Underserved Area
          Strategic Planning
          Goals and Objectives
          Collaboration
          Personnel, Health Facility
          Data Management
          Health Care Errors Prevention and Control
          Access to Information
          Decision Making, Clinical
          Hypertension Therapy
          Health Informatics
          Referral and Consultation
          Diabetes Mellitus Therapy
          Quality of Health Care
          Health Resource Utilization
          Pediatric Care
          Psychiatric Care
          Oncologic Care
      ab: 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.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N