scholarly journals Implementing electronic medical record in family practice in Slovenia and other former Yugoslav Republics: Barriers and requirements

2009 ◽  
Vol 137 (11-12) ◽  
pp. 664-669 ◽  
Author(s):  
Marko Kolsek
Keyword(s):  
Health Care ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Health Care Professionals ◽  
Medical Records ◽  
Data Exchange ◽  
Data Retrieval ◽  
Primary Health ◽  
User Friendly ◽  
Better Than

The author describes problems related to the implementation of electronic medical record in family medicine in Slovenia since 1992 when first personal computers have been delivered to family physicians' practices. The situation of health care informatization and implementation of electronic medical record in primary health care in new countries, other former Yugoslav republics, is described. There are rather big differences among countries and even among some regions of one country, but in the last year the situation improved, especially in Montenegro, Serbia and Slovenia. The main problem that is still unsolved is software offered by several companies which do not offer many functions, are non-standardized or user friendly enough and is not adapted to doctors' needs. Some important questions on medical records are discussed, e.g. what is in fact a medical record, what is its purpose, who uses it, which record is a good one, what should contain and confidentiality issue. The author describes what makes electronic medical record better than paper-based one (above all it is of better quality, efficiency and care-safe, easier in data retrieval and does it offer the possibility of data exchange with other health care professionals) and what are the barriers to its wider implementation.

scholarly journals The Coming Age Of Electronic Medical Records: From Paper To Electronic

2014 ◽  
Vol 18 (2) ◽  
pp. 117
Author(s):  
Naveen Malhotra ◽  
Marlieta Lassiter
Keyword(s):  
Health Care ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Health Care Professionals ◽  
Medical Records ◽  
New Technology ◽  
Care Providers ◽  
Support Providers ◽  
National Space ◽  
Computerized Patient Record

Medical records, first developed in the fifth century, have remained virtually unchanged until the explosion of new technology in the mid-1960s. The National Space and Aeronautics Administrations development of computerized patient record (CPR) brought life to the electronic medical record (EMR) industry. Preventable deaths due to medical errors drew the attention of public and health care professionals to the need for increased patient safety and improved quality measures in medicine. With health care costs compromising 16-17% of the U.S. Gross Domestic Product, Congress passed legislation to financially support providers to adopt electronic medical record (EMR). As a result, future efforts will focus on the sharing of information among all health care stakeholders. Across the world, governments, technology companies, and care providers are collaborating efforts to make the EMR a reality.

scholarly journals The Implementation of Electronic Medical Record (EMR) in The Development Health Care System in Indonesia

2021 ◽  
Vol 4 (3) ◽  
Author(s):  
Nuke Amalia ◽  
Muh Zul Azhri Rustam ◽  
Anna Rosarini ◽  
Dina Ribka Wijayanti ◽  
Maya Ayu Riestiyowati
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Medical Records ◽  
Health Sector ◽  
Developed Countries ◽  
The United States ◽  
Long Time ◽  
The Cost

The development of information technology is now growing rapidly, including in the health sector. According to WHO, medical record is an important compilation of facts about a patient's life and health. The development of information technology in medical records is the electronic medical record (EMR). Developed countries, such as the United States and Korea have implemented EMR for a long time. In developing countries such as Indonesia, the development of EMR is still in progress because its implementation requires many factors to build a system or replace from manual medical records. Eventually, it is hoped that in the future all health care will use the EMR to resume patient datas from admission to discharge. The purpose of this study is to analyse the implementation and preparation of EMR in health care in Indonesia. This study is a literature review on the implementation and preparation of EMR in health care in Indonesia. The review is dome from 28 literature sources (Google-Scholar database). Total of 8 articles were obtained from 2017 to 2021. The results show that there are benefits after switching to EMR, even though some health care only used EMR in certain units. The highest benefit is reducing the cost of duplicating paper for printing. Also there is still limited human resources and tools for implementing EMR in Indonesia. The implementation of this EMR will enable the improvements of the service quality of the health care itself, especially in Indonesia.

scholarly journals Vídeo Síncrono com Preservação Digital e Registro Distribuído como um Serviço para Telessaúde

2019 ◽  
Author(s):  
Denio Mariz Sousa ◽  
Guido Lemos Souza ◽  
Cícero I. da Silva ◽  
Giuliano Maia Castro
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Health Professionals ◽  
Scalable Architecture ◽  
Remote Locations ◽  
Primary Health ◽  
Digital Certificates

This paper proposes a video as a service (VaaS) platform enabling synchronous video and confidential transmission based in an open and scalable architecture in order to simplify the integration of streaming features in telehealth systems. The platform will provide participant authentication, preservation and recovery of videos with proof of existence, integrity and authenticity through digital certificates and blockchain registration, and the association of the recorded media with the patient's electronic medical record. The goal is that users and health professionals can adopt synchronous video resources to carry out the activities of supervision, teleconsulting, telediagnosis and preceptory of resident doctors with focus on Primary Health Care in remote locations in a safe and reliable way.

Selected Impressions on the Beginning of the Electronic Medical Record and Patient Information

2004 ◽  
Vol 43 (05) ◽  
pp. 537-542 ◽  
Author(s):  
R. Klar
Keyword(s):  
Medical Record ◽  
Electronic Medical Record ◽  
Electronic Medical Records ◽  
Patient Information ◽  
Medical Records ◽  
Data Set ◽  
The 1960S ◽  
User Friendly ◽  
Support Evaluation

Summary Objectives: To present an overview of early European and American work on Electronic Medical Records and patient information. Method: The invited lectures of “pioneers of electronic patient information” given at the farewell symposium of Wolfgang Giere in Frankfurt, Germany, are summarized and discussed. Results: The origin of medical record writing goes back to Hippocrates and over many centuries this important medical duty was regarded as an annoying, laborious and error-prone task. First steps towards a better medical record started in 1936 with punch cards. In the 1960s the minimum basic data set, a unique patient ID was introduced and even for outpatients first com-puterized medical record systems were developed applying some important standards and well accepted data structures. Nowadays multimedia are included in patient record systems, highly specialized subsystems e.g. for radiology or cardiology are available, and semantic and statistic mining techniques as well as medical classifications and standardized terminologies support evaluation. All these methods should primarily improve the quality of care, reduce errors, improve communication between multiple specialists, reduce wait times for patients and improve efficiency. Conclusions: Over decades it became obvious that the structure of a medical record notably for coded data but also for narrative text and pictures must be carefully modelled. Well maintained standardized health terminologies and medical classifications are important issues for a user-friendly electronic medical record, which bring benefits for clinicians and patients.

scholarly journals Patient Clinical Data Integration in Integrated Electronic Medical Record System for Health Care Facilities in Indonesia

2017 ◽  
Vol 13 (2) ◽  
Author(s):  
Arif Kurniadi ◽  
Retno Pratiwi
Keyword(s):  
Health Care ◽  
Data Integration ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Clinical Data ◽  
Data Exchange ◽  
Clinical History ◽  
Health Care Facilities ◽  
Portal System ◽  
Care Facilities

Complete patient service requires continuous support of clinical history. This can be realized by integrating electronic medical record data. The limitation is the wide variety of software, formats, and data dictionaries used in healthcare facilities. This was a descriptive analysis study with cross sectional approach to find open source electronic medical record integration model for clinical data exchange between health care facilities. Respondents were doctors, nurses, pharmacists, laboratory staffs, and person in charge of hospital information system as informant for content analysis. From the study, we managed a web-based service portal to implement clinical data integration that can be accessed by clinician registered within the Ministry of Health. The patients clinical history is stored in the hospital database and requires unique OpenIDRM code on the Health Service Server to integrate it. OpenIDRM contains all of the patients medical record number, as one patient may have several different medical record numbers in several hospitals. In conclusion, clinician can access the patients clinical history by opening a web portal system through a unique OpenIDRM code.

scholarly journals Exploring patients satisfaction after the implementation of an electronic medical record system at Al-Wakrah primary health center, Qatar, 2016

2017 ◽  
Vol 4 (10) ◽  
pp. 3511 ◽  
Author(s):  
Ayman F. Al-Dahshan ◽  
Noura Al-Kubaisi ◽  
Mohamed Abdel Halim Chehab ◽  
Nour Al-Hanafi
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Primary Health Care ◽  
Medical Record ◽  
Electronic Medical Record ◽  
Electronic Medical Record System ◽  
Record System ◽  
Health Care Center ◽  
Primary Health ◽  
Medical Record System

Background: The healthcare industry has focused much attention on patient satisfaction with the quality of healthcare services. However, there remains a lack of research on patient satisfaction towards the implementation of an electronic medical record system at a primary healthcare setting. This study aimed at assessing the level of patient satisfaction regarding primary health care services after the implementation of an electronic medical record (EMR) system. Methods: A descriptive cross-sectional study was conducted at the Al-Wakrah health care center, with a random/convenient sample of 52 patients attending the center. Furthermore, the investigators interviewed the participants, in the waiting area, regarding their satisfaction with the primary health care services provided following the EMR system implementation. A structured interview-based questionnaire for measuring patient satisfaction was employed. Results: The vast majority of participants indicated that the overall service at the health center greatly improved after EMR implementation. Furthermore, most interviewees were totally satisfied with the overall workflow at the health care center such as the time spent at the registration desk (76.9%), before seeing a physician (65.4%), while the physician used the computer (76.9%), physical examination (69.3%), laboratory testing (73.1%), and collecting the medication (65.4%). Regarding health education and informativeness, the participants found that labeling medication bottles was quite informative. However, less than two-thirds (61.5%) of the patients were satisfied with the health education delivered by physicians. Conclusions: The results revealed that although overall patient satisfaction was relatively high, certain aspects of the health care service remained to be a source of dissatisfaction. Thus, this study demonstrated patient acceptance and support for the electronic medical record system at the primary health care setting. 

scholarly journals Management of Medical Record Unit to Preparing Accreditation at Primary Health Care

2020 ◽  
Vol 2 (4) ◽  
pp. 227-236
Author(s):  
Faizah Wardhina ◽  
Ermas Estiyana
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Medical Record ◽  
Community Service ◽  
Medical Records ◽  
Health Care Services ◽  
Care Program ◽  
Public Health Services ◽  
Knowledge And Skills ◽  
Primary Health

Puskesmas as the spearhead of public health services are required to always improve the quality of service delivery, both in the administration of primary health care management, clinical services, and primary health care program services. Accreditation is one of the efforts to ensure the quality improvement of primary health care services. Primary health care must compile medical records in accordance with the standards and criteria set by the first level health facility accreditation commission. It becomes a problem if the Puskesmas does not yet have human resources in the field of medical records, included the Karang Intan 2 primary health care. For this reason, primary health care need to increase the knowledge of its officers about managing medical record units and health information. The purpose of this community service activity is to increase the knowledge and skills of officers in managing the medical record unit at the Karang Intan 2 primary health care. This method of community service activities is carried out by provided learning about medical records to three medical record officers, then continued with guidance and consultation as well as monitored and evaluation to ensure a change for the better in the management of the medical record unit at the Karang Intan 2 primary health care. The result of this activity was an increased in the knowledge and skills of the medical record unit officers.

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