Information System Implementation in Healthcare: Case Study of Croatia

Abstract

Background: In today’s environment, health professionals are overwhelmed by the rapid pace of advancement in both information technology and medical practice. Objectives: This paper aims to point out the importance of developing an electronic health record system that will meet the needs of all stakeholders in healthcare, support health professionals’ work, and enable continuous quality improvement at all levels and in all healthcare segments. Methods/Approach: Non-systematic literature review has been used to develop a discussion on the healthcare systems’ usage. Results: Close cooperation of participants at all levels is essential for the quality implementation and application of digital solutions in healthcare. Conclusions: The paper highlights the factors that contribute to the acceptance of the public healthcare information system in the Republic of Croatia, which is being developed according to the EU regulations.

Regional Differences in Standardized Mortality Rate Trends for Peripheral Artery Disease from 2011 to 2020 in the Republic of Croatia

“…53, 54 Furthermore, the level of medical care in different institutions also cannot be compared since there is no systematic data gathering on clinical outcomes based on indicators specific to the disease. 55 Our results indicate an increase in mortality trends that is more pronounced in men, which is in agreement with globally reported trends in the last 20 years. 56 By time period, a drop in mortality was present is both sexes from 2011 to 2018, after which the period from 2018 to 2020 had a pronounced, but nonsignificant increase of 25.36% and 29.94%.…”

“…53, 54 Isto tako, nije moguće usporediti razinu medicinske skrbi među ustanovama jer nema sustavnog prikupljanja kliničkih ishoda na temelju pokazatelja specifičnih za bolest. 55 Rezultati upućuju na porast trenda mortaliteta koji je izraženiji u muškaraca, a to je u skladu s trendovima zabilježenima u svijetu posljednjih 20 godina. 56 Prema razdobljima, pad mortaliteta prisutan je u obaju spolova od 2011. do 2018., nakon čega je u razdoblju od 2018. do 2020. došlo do izrazitog, ali neznačajnog povećanja od 25,36 % i 29,94 %.…”

Analysis of Mortality from Peripheral Artery Disease from 2011 to 2020 by Region in the Republic of Croatia

“…9 It is also difficult to estimate the true effects of medical interventions, since there is a lack of data collection at the secondary and tertiary healthcare levels and a lack of data comparing treatment outcomes due to the lacking interconnectedness of hospital information systems in medical institutions. 10 Of the epidemiological indicators that can be used to show the dynamics of the disease in the population at the individual level, only data on cause of death are systematically available.…”

“…9 Isto tako, teško je procijeniti stvarne učinke medicinskih intervencija jer na razini sekundarne i tercijarne medicinske skrbi nema sustavnog prikupljanja i usporedbe ishoda liječenja zbog nepovezanosti bolničkih informacijskih sustava medicinskih ustanova. 10 Od epidemioloških pokazatelja kojima se može prikazati dinamika kretanja bolesti u populaciji na individualnoj razini sustavno su dostupni samo podatci o uzrocima smrti.…”

“…The goal of this analysis was to calculate and compare the age-standardized mortality rates for PAD based on sex and on 2 nd level statistical regions in Croatia in the period from 2011 to 2020. Škola narodnog zdravlja "Andrija Štampar", Zagreb, Hrvatska 2 Medicinski fakultet Sveučilišta u Zagrebu, Zagreb, Hrvatska 3 Poliklinika CROATIA, Zagreb, Hrvatska 4 Nastavni zavod za hitnu medicinu Zagrebačke županije, Zagreb, Hrvatska 5 Zavod za hitnu medicinu Dubrovačko-neretvanske županije, Dubrovnik, Hrvatska 6 Fakultet za dentalnu medicinu i zdravstvo, Osijek, Sveučilište "Josip Juraj Strossmayer", Osijek, Hrvatska 7 Klinički bolnički centar Zagreb, Zagreb, Hrvatska 8 Specijalna bolnica za medicinsku rehabilitaciju Krapinske Toplice, Krapinske Toplice, Hrvatska 9 Ordination dr. Ostojic Evica, Beč, Austrija 10 Opća bolnica Dubrovnik, Dubrovnik, Hrvatska ORCiD: Zrinka Biloglav, https://orcid.org/0000-0002-3245-001X • Petar Medaković, https://orcid.org/0000-0002-7173-8286 Dominic Vidović, https://orcid.org/0000-0002-4323-4961 • Diana Kovač, https://orcid.org/0000-0002-5098-1594 Dea Barać, https://orcid.org/0009-0004-1053-7562 • Ivana Škrlec, https://orcid.org/0000-0003-1842-930X Ivan Padjen, https://orcid.org/0000-0002-9249-9325 • Matea Turudić, https://orcid.org/0000-0001-6304-5829 Domagoj Andrić, https://orcid.org/0000-0003-2209-7635 • Antun Tonko Jakobović, https://orcid.org/0000-0003-0041-4054 Blanka Glavaš, https://orcid.org/0000-0003-1134-4856 • Filip Relković, https://orcid.org/0000-0002-3643-1713 Nikolina Jupek, https://orcid.org/0000-0001-8212-9040 • Stipe Radoš, https://orcid.org/0000-0003-2183-3506 Josip Ćurić, https://orcid.org/0000-0001-8825-2592 • Nino Tićinović, https://orcid.org/0000-0001-6613-9492 Tatjana Ružić, https://orcid.org/0009-0007-6984-3427 • Melita Kukuljan, https://orcid.org/0000-0002-4514-1400 Dimitrij Kuhelj, https://orcid.org/0000-0003-3521-1564 • Miljenko Kovačević, https://orcid.org/0000-0002-8477-8594 Slavica Kovačić, https://orcid.org/0000-0002-7419-224X…”