|
Identifier |
000365650 |
Title |
Ανάπτυξη και εφαρμογή λογισμικού κατάλληλου για χρήση στην πρωτοβάθμια φροντίδα υγείας |
Alternative Title |
Development and evaluation of an appropriate electronic patient records system for primary health care |
Author
|
Κουναλάκης, Δημήτριος
|
Thesis advisor
|
Λιονής, Χρήστος
|
Reviewer
|
Τσιφτσής, Δημήτριος
Φιλαλήθης, Αναστάσιος
Βάρδας, Παναγιώτης
Κογεβίνας, Εμμανουήλ
Μαυροθαλασσίτης, Γεώργιος
Τζανάκης, Νικόλαος
|
Abstract |
The electronic patient records system (EPR) is a
significant tool for the continuity of care in the primary care setting.
Several attempts have been made in Greece to establish an EPR for
primary health care (PHC), but none of them managed to be widely
accepted.
Aim: The design, the development and the evaluation of an EPR
system based on appropriate classifications and optimized for use in
the PHC.
Methods: A systematic review was performed in medical literature
and the Internet for existing EPR systems in the PHC, to select one as
prototype. The perceptions among Greek general practitioners about
classifications and EPR systems and the patterns of use of existing
EPR systems were analyzed. A new EPR system was developed based
on Episode of Care and the classifications ICD10, ATC and ICPC-2.
The new EPR system was installed and evaluated in PHC settings in
Greece and Cyprus. The evaluation was based on information
collected during the implementation process, interviews with the users
and the use of questionnaires.
Results: Twelve EPR systems were found and an EPR system named
Transhis was selected as prototype. The new EPR system we
developed was based on minimal data set, optimized for speed, for
documenting each consultation through ICPC-2 codes. The functions
that were added included: custom forms created by the user, medical
information for user assistance, prints through print generator, import
images facility from scanner or camera. Problems identified during the
implementation were corrected. The use of the new EPR system was
11
accepted by the users, but organizing problems and attitudes identified
in the literature as «resistance to computerization» were recorded. The
new EPR system’s evaluation by the users was positive and their
satisfaction was increased as its use increased in time.
Conclusion: The new EPR system is a tool for the PHC in Greece. A
wider adoption of this EPR system will provide useful results.
|
Language |
Greek |
Subject |
ATC |
|
Classifications |
|
ICD |
|
ICD-10 |
|
ICPC-2 |
|
Medical records |
|
Patient records |
|
Record system |
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SNOMED |
|
electronic patient |
|
Ηλεκτρονικός φάκελος |
|
Ιατρικός φάκελος |
|
Ιατρικός φάκελος |
|
Κωδικοποιήσεις |
|
Παγκόσμια ταξινόμηση της πρωτοβάθμιας φροντίδας |
|
Φάκελος ασθενή |
Issue date |
2010-03-23 |
Collection
|
School/Department--School of Medicine--Department of Medicine--Doctoral theses
|
|
Type of Work--Doctoral theses
|
Views |
361 |