Health and social electronic records integratation in catalonia

Solans, Óscar; Serra, Anna; Hernández, Sara B.; Martinez, Jordi; Contel, Joan Carles; Olmedo, Inmaculada; Sarquella, Ester; Perez, Pol; Cuyàs, Francesc García

doi:10.5334/ijic.s2076

Cited by 5 publications

(7 citation statements)

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“…5. No complaints against this comprehensive ICT deployment strategy have been received or noticed from health providers or citizens. 6. The deployment of ICT-enabled solutions should be accompanied by financial incentives for health providers in order to remove the financial barriers of adoption.…”

Section: Lessons Learned and Next Stepsmentioning

confidence: 99%

“…With roughly 7.5 million inhabitants, Catalonia (Northeast Spain) has been considered a forerunner of eHealth adoption in Europe. Since 2009, a robust information exchange deployment has allowed health care providers within the public health system to share clinical information [5][6][7]. Currently, the region is implementing a comprehensive digital strategy-it is just one of the few ambitious initiatives that is transforming health information systems in Europe [7,8].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Turning the Crisis Into an Opportunity: Digital Health Strategies Deployed During the COVID-19 Outbreak

Sust¹,

Solans²,

Fajardo³

et al. 2020

JMIR Public Health Surveill

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149

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Digital health technologies offer significant opportunities to reshape current health care systems. From the adoption of electronic medical records to mobile health apps and other disruptive technologies, digital health solutions have promised a better quality of care at a more sustainable cost. However, the widescale adoption of these solutions is lagging behind. The most adverse scenarios often provide an opportunity to develop and test the capacity of digital health technologies to increase the efficiency of health care systems. Catalonia (Northeast Spain) is one of the most advanced regions in terms of digital health adoption across Europe. The region has a long tradition of health information exchange in the public health care sector and is currently implementing an ambitious digital health strategy. In this viewpoint, we discuss the crucial role digital health solutions play during the coronavirus disease (COVID-19) pandemic to support public health policies. We also report on the strategies currently deployed at scale during the outbreak in Catalonia.

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Section: Lessons Learned and Next Stepsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Turning the Crisis Into an Opportunity: Digital Health Strategies Deployed During the COVID-19 Outbreak

Sust¹,

Solans²,

Fajardo³

et al. 2020

JMIR Public Health Surveill

Self Cite

149

View full text Add to dashboard Cite

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“… 49 Moreover, the single computer information system of Catalonia (HC3) that collects the medical records and mortality status of all patients reported by all health providers prevented loss of patients up to follow-up. 32 Consequently, the lack of missing data due to the HC3 system, along with the use of standard and validated tools to identify EOLp (NECPAL) and to measure frailty (Frail-VIG index), increased the accuracy of the results obtained from this study. The early identification of people needing palliative care and the more accurate definition of the various end-of-life trajectories opened the door to a novel perspective of palliative care.…”

Section: Discussionmentioning

confidence: 87%

“…Information regarding the patient status after the 24-month follow-up period was obtained from the Shared Medical Record in Catalonia (HC3), a sole electronic database accessible to all healthcare providers in Catalonia that allows healthcare professionals to reliably determine whether a patient is ‘active’ (alive) or deceased (including date of death). 32 …”

Section: Methodsmentioning

confidence: 99%

Frailty degree and illness trajectories in older people towards the end-of-life: a prospective observational study

et al. 2021

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ObjectivesTo assess the degree of frailty in older people with different advanced diseases and its relationship with end-of-life illness trajectories and survival.MethodsProspective, observational study, including all patients admitted to the Acute Geriatric Unit of the University Hospital of Vic (Spain) during 12 consecutive months (2014–2015), followed for up to 2 years. Participants were identified as end-of-life people (EOLp) using the NECPAL (NECesidades PALiativas, palliative care needs) tool and were classified according to their dominant illness trajectory. The Frail-VIG index (Valoración Integral Geriátrica, Comprehensive Geriatric Assessment) was used to quantify frailty degree, to calculate the relationship between frailty and mortality (Receiver Operating Characteristic (ROC) curves), and to assess the combined effect of frailty degree and illness trajectories on survival (Cox proportional hazards model). Survival curves were plotted using the Kaplan-Meier estimator with participants classified into four groups (ie, no frailty, mild frailty, moderate frailty and advanced frailty) and were compared using the log-rank test.ResultsOf the 590 persons with a mean (SD) age of 86.4 (5.6) years recruited, 260 (44.1%) were identified as EOLp, distributed into cancer (n=31, 11.9%), organ failure (n=79, 30.4%), dementia (n=86, 33.1%) and multimorbidity (n=64, 24.6%) trajectories. All 260 EOLp had some degree of frailty, mostly advanced frailty (n=184, 70.8%), regardless of the illness trajectory, and 220 (84.6%) died within 2 years. The area under the ROC curve (95% CI) after 2 years of follow-up for EOLp was 0.87 (0.84 to 0.92) with different patterns of survival decline in the different end-of-life trajectories (p<0.0001). Cox regression analyses showed that each additional deficit of the Frail-VIG index increased the risk of death by 61.5%, 30.1%, 29.6% and 12.9% in people with dementia, organ failure, multimorbidity and cancer, respectively (p<0.01 for all the coefficients).ConclusionsAll older people towards the end-of-life in this study were frail, mostly with advanced frailty. The degree of frailty is related to survival across the different illness trajectories despite the differing survival patterns among trajectories. Frailty indexes may be useful to assess end-of-life older people, regardless of their trajectory.

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“…No complaints against this comprehensive ICT deployment strategy have been received or noticed from health providers or citizens. 6. The deployment of ICT-enabled solutions should be accompanied by financial incentives for health providers in order to remove the financial barriers of adoption.…”

Section: Lessons Learned and Next Stepsmentioning

confidence: 99%

Turning the Crisis Into an Opportunity: Digital Health Strategies Deployed During the COVID-19 Outbreak (Preprint)

Sust¹,

Solans²,

Fajardo³

et al. 2020

Preprint

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UNSTRUCTURED Digital health technologies offer significant opportunities to reshape current health care systems. From the adoption of electronic medical records to mobile health apps and other disruptive technologies, digital health solutions have promised a better quality of care at a more sustainable cost. However, the widescale adoption of these solutions is lagging behind. The most adverse scenarios often provide an opportunity to develop and test the capacity of digital health technologies to increase the efficiency of health care systems. Catalonia (Northeast Spain) is one of the most advanced regions in terms of digital health adoption across Europe. The region has a long tradition of health information exchange in the public health care sector and is currently implementing an ambitious digital health strategy. In this viewpoint, we discuss the crucial role digital health solutions play during the coronavirus disease (COVID-19) pandemic to support public health policies. We also report on the strategies currently deployed at scale during the outbreak in Catalonia.

show abstract

Health and social electronic records integratation in catalonia

Cited by 5 publications

References 0 publications

Turning the Crisis Into an Opportunity: Digital Health Strategies Deployed During the COVID-19 Outbreak

Turning the Crisis Into an Opportunity: Digital Health Strategies Deployed During the COVID-19 Outbreak

Frailty degree and illness trajectories in older people towards the end-of-life: a prospective observational study

Turning the Crisis Into an Opportunity: Digital Health Strategies Deployed During the COVID-19 Outbreak (Preprint)

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