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

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Title: An Experience of Electronic Health Records Implementation in a Mexican Region.
Authors: Uc, Belmar Mex1, Castillo-Sánchez, Gema2 gemaanabel.castillo@alumnos.uva.es, Marques, Gonçalo3, Arambarri, Jon4, de la Torre-Díez, Isabel2
Source: Journal of Medical Systems. Jun2020, Vol. 44 Issue 6, p1-8. 8p. 2 Charts, 3 Graphs.
Subjects: Treatment of diabetes, Prevention of medical errors, Cancer patient medical care, Computer software, Computers, Database management, Goal (Psychology), Health services accessibility, Hypertension, Interprofessional relations, Medical quality control, Medical care use, Medical informatics, Medical referrals, Medically underserved areas, Pediatrics, Research funding, Strategic planning, Telecommunication, Decision making in clinical medicine, Systems development, Access to information, Psychiatric treatment, Human services programs, Electronic health records, Descriptive statistics
Geographic Terms: Mexico
Abstract: 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. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Medical Systems is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: An Experience of Electronic Health Records Implementation in a Mexican Region.
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Medical+Systems%22">Journal of Medical Systems</searchLink>. Jun2020, Vol. 44 Issue 6, p1-8. 8p. 2 Charts, 3 Graphs.
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  Data: <searchLink fieldCode="DE" term="%22Treatment+of+diabetes%22">Treatment of diabetes</searchLink><br /><searchLink fieldCode="DE" term="%22Prevention+of+medical+errors%22">Prevention of medical errors</searchLink><br /><searchLink fieldCode="DE" term="%22Cancer+patient+medical+care%22">Cancer patient medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Computer+software%22">Computer software</searchLink><br /><searchLink fieldCode="DE" term="%22Computers%22">Computers</searchLink><br /><searchLink fieldCode="DE" term="%22Database+management%22">Database management</searchLink><br /><searchLink fieldCode="DE" term="%22Goal+%28Psychology%29%22">Goal (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22Hypertension%22">Hypertension</searchLink><br /><searchLink fieldCode="DE" term="%22Interprofessional+relations%22">Interprofessional relations</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+quality+control%22">Medical quality control</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+use%22">Medical care use</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+informatics%22">Medical informatics</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+referrals%22">Medical referrals</searchLink><br /><searchLink fieldCode="DE" term="%22Medically+underserved+areas%22">Medically underserved areas</searchLink><br /><searchLink fieldCode="DE" term="%22Pediatrics%22">Pediatrics</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Strategic+planning%22">Strategic planning</searchLink><br /><searchLink fieldCode="DE" term="%22Telecommunication%22">Telecommunication</searchLink><br /><searchLink fieldCode="DE" term="%22Decision+making+in+clinical+medicine%22">Decision making in clinical medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Systems+development%22">Systems development</searchLink><br /><searchLink fieldCode="DE" term="%22Access+to+information%22">Access to information</searchLink><br /><searchLink fieldCode="DE" term="%22Psychiatric+treatment%22">Psychiatric treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Human+services+programs%22">Human services programs</searchLink><br /><searchLink fieldCode="DE" term="%22Electronic+health+records%22">Electronic health records</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Mexico%22">Mexico</searchLink>
– Name: Abstract
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  Data: 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. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Medical Systems is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=egs&AN=143571481
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        Value: 10.1007/s10916-020-01575-w
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        Text: English
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    Subjects:
      – SubjectFull: Treatment of diabetes
        Type: general
      – SubjectFull: Prevention of medical errors
        Type: general
      – SubjectFull: Cancer patient medical care
        Type: general
      – SubjectFull: Computer software
        Type: general
      – SubjectFull: Computers
        Type: general
      – SubjectFull: Database management
        Type: general
      – SubjectFull: Goal (Psychology)
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Hypertension
        Type: general
      – SubjectFull: Interprofessional relations
        Type: general
      – SubjectFull: Medical quality control
        Type: general
      – SubjectFull: Medical care use
        Type: general
      – SubjectFull: Medical informatics
        Type: general
      – SubjectFull: Medical referrals
        Type: general
      – SubjectFull: Medically underserved areas
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      – SubjectFull: Pediatrics
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      – SubjectFull: Research funding
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      – SubjectFull: Decision making in clinical medicine
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      – SubjectFull: Psychiatric treatment
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      – SubjectFull: Electronic health records
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      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Mexico
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      – TitleFull: An Experience of Electronic Health Records Implementation in a Mexican Region.
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              Text: Jun2020
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