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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

SNOMED