Primary healthcare information system—The Cornerstone for the next generation healthcare sector in Republic of Croatia

Quality Assessment of E-Health Solutions in Primary Health Care - Approach Based on User Experience

“…in real production conditions and with real patients' data collected in FDO. The central part of the information system was designed by the renowned company, specialized in area of those projects, as a very stable and quality system based on welldefined business processes, legal and semantic rules, and communication and messaging standards such as EN13606 and HL7v3 (Končar & Gvozdanović, 2006). Design of the applications for managing of the electronic healthcare records (EHR) in FDO was left to a number of small IT companies competing on the Croatian market.…”

Users’ satisfaction with the primary health care information system in Croatia: a cross-sectional study

“…Additionally, GPs reported problems with communication between the local and central parts of PHCIS, as well as having insufficient education to fully incorporate PHCIS in their daily work. In spite of a number of articles on the Croatian primary health care information system published in internationally available journals (1,21-23,25-32) and in several other sources (proceedings and reports), this study is the first evaluation of this system from the end-user point of view. Most previous studies pay attention to particular aspects of the health information system, like prevention and management of chronic diseases (5,33), financial expenses (15,34), access time (17), patient point of view (6,35), effect of electronic reminders (36-39), and quality of care, duration of consultation, stress for physicians, and overall problem of using modern technology (16,18).…”

“…It started in 2002 and was fully implemented in 2008. Designed to cover the primary health-care information needs, the PHCIS consists of the central EHR repository (the so-called first level), accessible by locally installed applications in GP’s offices, and the second level for authorized users only (21-23). Development of the PHCIS was initiated by the Ministry of Health and Social Welfare and the Croatian Health Insurance Institute.…”

Development of the quality assessment model of EHR software in family medicine practices: research based on user satisfaction

“…Special attention was paid to the European research papers and studies in the field of information technology (IT) adoption,21 quality evaluation22 – 27 and usability28 – 30 of the ambulatory EHR systems. Trying to assess the situation and the specifics of Croatian health system, we analysed the significant results of research on the health information system in the Republic of Croatia 3 , 4 , 31 – 37. We also tried to keep to basic guidelines for good evaluation practice in health informatics38 and statement on reporting of evaluation studies in the health informatics 39…”

“…Croatian Health Insurance Fund (CHIF) forms the current certification criteria for the selection of the software support to Croatian FMPs since it is an executive and regulatory body of the Ministry of Health 2. Unfortunately, these certification criteria are still based solely on the necessary legislative or communication criteria and capabilities,3 , 4 while other important functional features of this type of software support remain uneven and largely left to the will of the software developers. According to the current criteria, the CHIF chose eight versions of EHR software that are presently used in Croatian FMPs.…”