RESUMO
The Primary Health Care strategy is based on organization of interdisciplinary teams and comprehensive approach to health, disease and health care processes. To strengthen information systems so that they represent primary health care complexities, participatory meetings were held with primary care practitioners from the public health care system of Buenos Aires City. Terms for the record tool and its components were chosen using consensus methodologies. This process involved 300 practitioners from 49 centers, and submission of 21 proposals. It was decided to change the term "Electronic Medical Record" with "Comprehensive Health Record." It was also agreed that, apart from "Reason for Consultation," the field "Problem Situation" would be added, that "Care Service" would be replaced with "Care Act," and that a new module "Health Team Management and Education Activities" would be included to document practitioners team activities.
Assuntos
Atenção Primária à Saúde , Saúde Pública , Cidades , Atenção à Saúde , Registros Eletrônicos de SaúdeRESUMO
This paper describes the development and implementation of a Dental Record within an Electronic Health Record in the public Primary Health Care network of Buenos Aires City. In the five months of implementation, the adoption was progressively increasing but with a great deal of variability among the health facilities. Pediatric population was the most common assisted and the most frequent oral health problem was caries.
Assuntos
Registros Odontológicos , Registros Eletrônicos de Saúde , Argentina , Cidades , Atenção à Saúde , HumanosRESUMO
Teaching soft skills for change management in healthcare organizations is becoming increasingly necessary, even more, when implementing health information systems (HIS). There is little evidence that these skills can be learned through online teaching environments. This paper describes the experience of having taught soft skills to health informatics master's degree students, through blended learning environments.
Assuntos
Gestão de Mudança , Informática Médica , Humanos , Aprendizagem , EstudantesRESUMO
The Electronic Health Record used in the public primary care network of Buenos Aires City has a specific module for the vaccines registration. The present study explores the factors of EHR adoption by nurses. We found 5 barriers and one facilitator for adoption. Barriers are related with organize the flow of patients especially during vaccine campaigns, adapt the work stations and integrate the records with the vaccine central program.
Assuntos
Registros Eletrônicos de Saúde , Vacinas , Cidades , Humanos , Atenção Primária à SaúdeRESUMO
Enablement, guidance, and proactive preparation for a new IT system implementation has proven to be a smart way to prepare people to embrace change. These activities are closely related to change management approaches which seek to help people understand and adopt specific behaviors. That being said, investing in such activities becomes the cornerstone of the success of the project. Leading IT companies around the world include in their strategy for new services and offering deployments, a proactive HelpDesk service. This not only helps build long lasting/trusted relationships between end users and IT sectors but also helps reduce cost and maximizes the Return of Investment. A streamlined process and easy to use/fluent communication channel between parties are powerful risk management/Quality Assurance and Continuous Improvement tools. In this paper, we address the example of a HelpDesk support team implementation of a city-scaled Electronic Health Records implementation.
Assuntos
Registros Eletrônicos de Saúde , Argentina , Necessidades e Demandas de Serviços de Saúde , HumanosRESUMO
A major hurdle in eHealth implementation is that it is difficult to put into practice. In this study, the primary aim was to identify the main barrier associated with implementing eHealth. This study surveyed IMIA members from May to November 2015. From the results, it is clear that medical professionals were recording most of their data by hand. This paper culture is a paradigm that is difficult to break. Cultural factors are the primary barrier in eHealth implementation.
Assuntos
Informática Médica , Telemedicina , Humanos , Padrões de Prática Médica , Inquéritos e QuestionáriosRESUMO
INTRODUCCIÓN: un sistema de salud debe garantizar el derecho a la salud de las personas. El sistema de salud Argentino es fragmentado, inequitativo e ineficiente en la utilización de recursos. La Ciudad Autónoma de Buenos Aires implementa, desde Diciembre 2015, una Agenda Digital en Salud que colabora en revertir estas características, a la vezque hace foco en fortalecer la Red de Atención Primaria de la Salud. MÉTODOS: Este trabajo describe los primeros 6 meses de implementación de un Sistema de Información en Salud. RESULTADOS: la implementación piloto comprende 14 Centrosde Atención Primaria y Salud Comunitaria (CeSAC) y al mes de Junio están en funcionamiento 4 de ellos con el nuevosistema. CONCLUSIÓN: un sistema de salud en red garantiza la continuidad del cuidado, mejora los indicadores en salud y la satisfacción ciudadana, así como la eficiencia en el uso de los recursos
INTRODUCTION: It is well known that a health care system must guarantee people the right to health. Fragmentation, inequity and inefficient management of resources are characteristics of the argentinian health caresystem. Since December 2015 Buenos Aires city is implementing a Digital Agenda which helps reverse this situation andaccompanies the plan of strengthening primary health care network. METHODS: This paper describes the first 6 months ofa Health Care Information System implementation in Primary Care. RESULTS: 4 Primary Health Care Centers were fullimplemented in June 2016 and we hope the pilot is finished in December 2016. CONCLUSION: an integrated Health Care System ensures continuity of care, improves citizen satisfaction and the efficient resources utilization.
Assuntos
Humanos , Agendamento de Consultas , Atenção Primária à Saúde , Informática Médica , Tecnologia da Informação , Argentina , Sistemas de Saúde , Congressos como Assunto , Equidade em SaúdeRESUMO
UNLABELLED: Medical Informatics (MI) is an emerging discipline with a high need of trained and skillful professionals. OBJECTIVE: To describe the educational experience of the Department of Health Informatics of the Hospital Italiano de Buenos Aires. METHODS: A descriptive study of the development of the Medical Informatics Residency Program (MIRP) and the e-learning courses related to medical informatics. RESULTS: A four-year MIRP with 15 rotations was started in 2000, and was awarded national educational accreditation. Eight residents have been fully trained and their main academic contributions are shown in this study. The e-learning courses related to medical informatics (Healthcare Management, Epidemiology & Biostatistics, Information Retrieval, Computer Literacy started, 10x10 Spanish version and HL7 introductory course) started in 2006 and were followed by more than 2266 students from all over the world, with an increase trend in foreign students. CONCLUSIONS: These educational activities have produced skilled human resources for the development and maintenance of the health informatics projects at our Hospital. In parallel, the number of students trained by e-learning continues to increase, demonstrating the worldwide need of knowledge in this field.