Skip to main content
Top
Published in: Journal of Medical Systems 5/2012

01-10-2012 | Original Paper

Analysis of the EHR Systems in Spanish Primary Public Health System: The Lack of Interoperability

Authors: Isabel de la Torre, Sandra González, Miguel López-Coronado

Published in: Journal of Medical Systems | Issue 5/2012

Login to get access

Abstract

This paper presents the impact of the Electronic Health Records (EHRs) systems jointly in the Spanish Primary Public Health System. Different EHRs that exist in each of the Spanish regions are discussed. Moreover, other purpose of this analysis is to identify the current state of knowledge about health information systems adoption in primary care in Spain. For the analysis and study of EHRs systems in Spain we have relied on the use of different sources, mostly items related to the study of EHRs systems in different areas. We will analyze some technical aspects of these and some of their major implications, both positive and negative. Moreover, we have resorted to make direct contact with the organizations that have implemented the EHRs systems. The result of this study leads to a main idea, the need for interoperability between different systems. We will delve into how we have reached this conclusion and that is the key to EHRs systems homogenization of Spanish territory. EHR systems used in different regions of Spain offer the access to medical information as well as provide a clinical analysis of each patient more quickly. The adoption of health information systems is seen world wide as one method to mitigate the widening health care demand and supply gap.
Literature
1.
go back to reference Hovenga, E., Garde, S., and Heard, S., Nursing constraint models for electronic health records: A vision for domain knowledge governance. Int. J. Med. Inform. 75:886–898, 2005.CrossRef Hovenga, E., Garde, S., and Heard, S., Nursing constraint models for electronic health records: A vision for domain knowledge governance. Int. J. Med. Inform. 75:886–898, 2005.CrossRef
2.
go back to reference Hackl, W., Hoerbst, A., and Ammenwerth, E., EHR Acceptance among Physicians in Private Practice in Austria: A Qualitative Study. Methods Inf. Med. 50:53–61, 2011.CrossRef Hackl, W., Hoerbst, A., and Ammenwerth, E., EHR Acceptance among Physicians in Private Practice in Austria: A Qualitative Study. Methods Inf. Med. 50:53–61, 2011.CrossRef
3.
go back to reference Hoerbst, A., et al., Attitudes and behaviors related to the introduction of electronic health records among Austrian and German citizens. Int. J. Med. Inform. 79:81–89, 2010.CrossRef Hoerbst, A., et al., Attitudes and behaviors related to the introduction of electronic health records among Austrian and German citizens. Int. J. Med. Inform. 79:81–89, 2010.CrossRef
4.
go back to reference Ludwick, D. A., and Doucette, J., Adopting electronic medical records in primary care: Lessons learned from health information systems implementation experience in seven countries. Int. J. Med. Inform. 78:22–31, 2008.CrossRef Ludwick, D. A., and Doucette, J., Adopting electronic medical records in primary care: Lessons learned from health information systems implementation experience in seven countries. Int. J. Med. Inform. 78:22–31, 2008.CrossRef
5.
go back to reference Staroselsky, M., Improving electronic health record (EHR) accuracy and increasing compliance with health maintenance clinical guidelines through patient access and input. Int. J. Med. Inform. 75:693–700, 2006.CrossRef Staroselsky, M., Improving electronic health record (EHR) accuracy and increasing compliance with health maintenance clinical guidelines through patient access and input. Int. J. Med. Inform. 75:693–700, 2006.CrossRef
23.
go back to reference Häyrinen, K., Saranto, K., and Nykänen, P., Definition, structure, content, use and impacts of electronic health records: A review of the research literature. Int. J. Med. Inform. 77:291–304, 2008.CrossRef Häyrinen, K., Saranto, K., and Nykänen, P., Definition, structure, content, use and impacts of electronic health records: A review of the research literature. Int. J. Med. Inform. 77:291–304, 2008.CrossRef
24.
go back to reference Perera, G., Holbrook, A., Thabane, L., Foster, G., and Willison, D. J., Views on health information sharing and privacy from primary care practices using electronic medical records. Int. J. Med. Inform. 80:94–101, 2011.CrossRef Perera, G., Holbrook, A., Thabane, L., Foster, G., and Willison, D. J., Views on health information sharing and privacy from primary care practices using electronic medical records. Int. J. Med. Inform. 80:94–101, 2011.CrossRef
25.
go back to reference Pal, E. T., Nilsson, G. H., and Furhoff, A. K., Clinical effect of computer generated physician reminders in health screening in primary health care—a controlled clinical trial of preventive services among the elderly. Int. J. Med. Inform. 73:695–703, 2004.CrossRef Pal, E. T., Nilsson, G. H., and Furhoff, A. K., Clinical effect of computer generated physician reminders in health screening in primary health care—a controlled clinical trial of preventive services among the elderly. Int. J. Med. Inform. 73:695–703, 2004.CrossRef
26.
go back to reference Protti, D., Johansen, I., and Pérez-Torres, F., Comparing the application of Health Information Technology in primary care in Denmark and Andalucía, Spain. Int. J. Med. Inform. 78:270–283, 2009.CrossRef Protti, D., Johansen, I., and Pérez-Torres, F., Comparing the application of Health Information Technology in primary care in Denmark and Andalucía, Spain. Int. J. Med. Inform. 78:270–283, 2009.CrossRef
27.
go back to reference Staroselsky, M., et al., An effort to improve electronic health record medication list accuracy between visits: Patients’ and physicians’ response. Int. J. Med. Inform. 77:153–160, 2007.CrossRef Staroselsky, M., et al., An effort to improve electronic health record medication list accuracy between visits: Patients’ and physicians’ response. Int. J. Med. Inform. 77:153–160, 2007.CrossRef
28.
go back to reference Nowinski, C., et al., The impact of converting to an electronic health record on organizational culture and quality improvement. Int. J. Med. Inform. 76:174–183, 2007.CrossRef Nowinski, C., et al., The impact of converting to an electronic health record on organizational culture and quality improvement. Int. J. Med. Inform. 76:174–183, 2007.CrossRef
Metadata
Title
Analysis of the EHR Systems in Spanish Primary Public Health System: The Lack of Interoperability
Authors
Isabel de la Torre
Sandra González
Miguel López-Coronado
Publication date
01-10-2012
Publisher
Springer US
Published in
Journal of Medical Systems / Issue 5/2012
Print ISSN: 0148-5598
Electronic ISSN: 1573-689X
DOI
https://doi.org/10.1007/s10916-011-9818-7

Other articles of this Issue 5/2012

Journal of Medical Systems 5/2012 Go to the issue