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Electronic Health Records and the Challenge to Master the Patients’ Pathways. Proposals Around a Comparative Analysis (France / Spain).

Authors:
José Maria Biedma
Christian Bourret

Keywords: Electronic Health Records ; Healthcare ; patients’ pathways ; access ; interoperability.

Abstract:
Issues about patients’ pathways and interoperability of Information Systems are at the heart of the challenges faced by Healthcare Systems to control costs and also to improve quality of care. We propose a comparative analysis of the issue of computerized patients’ records in France and Spain highlighting requirements, similarities and differences and new possibilities of actions. Most of the challenges faced by the Healthcare Systems converge on this issue. After an analysis of the broader context of Healthcare Systems in these two countries, which have different designs, but have also similar problems, we’ll examine the issue of the Healthcare record ownership, then the access to its data and its handling of doctors’ personal notes. We’ll also discuss ethics’ issues and especially that of medical confidentiality. We’ll then consider the central topic of interoperability linked to different approaches: national in France and at the level of the Autonomous Communities in Spain. The changes are only at their beginning. The use of these new socio-digital tools necessarily meets the European dimension, the issue of using open data and that of digital territories in Healthcare.

Pages: 277 to 284

Copyright: Copyright (c) IARIA, 2014

Publication date: March 23, 2014

Published in: conference

ISSN: 2308-4138

ISBN: 978-1-61208-325-4

Location: Barcelona, Spain

Dates: from March 23, 2014 to March 27, 2014