Historia clinica informática única una herramienta en la mejora de procesos en Salud Pública / Only medical history information tool in improving processes in Public Health

Un Sistema de Información se puede definir como el conjunto de personas, normas, procesos, procedimientos, datos y recursos tecnológicos que funcionan articuladamente y que buscan facilitar la gestión. El reto actual de las Administraciones Públicas y privadas es su modernización, entendiendo ésta como el proceso continuo de adaptación a las exigencias del entorno, efectuando la transición de un sistema burocrático a otro de gestión, capaz de definir objetivos, optar por la mejor forma de alcanzarlos y evaluar los resultados obtenidos. La Historia Clínica es el registro ordenado y metódico de todos los resultados de los exámenes clínicos realizados a un paciente con motivo de evaluación de su salud, la realización de diagnósticos y la prescripción de los tratamientos. El disponer de un sistema de registro adecuado es fundamental para el Equipo de APS porque su existencia, Por este motivo nos propusimos como objetivo el desarrollo de un sistema de gestión de historias clínicas informático que pueda mejorar los procesos del sistema de atención de salud público. El nuevo modelo de gestión de información adoptando conceptos nuevos permitió redireccionar el proceso en la administración de la información que condujo a un mejor ordenamiento y control de nuestra gestión.

SUMMARY: A medical information system can be defined as the set of people, standards, processes, procedures, data and technology resources that work articulately and seek to facilitate health management. The current challenge for the government and private is their modernization, understood as the continuous process of adaptation to the demands of the environment, making the transition from a bureaucratic system of management to another, capable of setting objectives, choose the best way to achieve and evaluate the results. The Medical Record is orderly and methodical recording of all results of clinical exams a patient because of health assessment, diagnostic studies and prescribing treatments. The availability of a proper registration system is crucial for Team APS because its existence, for this reason we intended to develop a system of computerized medical records management that can improve system processes public health care.

La informática aplicada a la salud reproductiva posibilita una mejor práctica clínica: [revisión] / Better clinical practice made possible by IT in reproductive health: [review]

En abril de 2006, los US Centers for Disease Control and Prevention (CDC) publicaron normativas clínicas acerca de la salud reproductiva con el objetivo de promover mejoras en la evolución de los embarazos en Estados Unidos. La integración de la salud reproductiva en la práctica cotidiana todavía representa un desafío para los médicos clínicos. Esto se debe en parte a la percepción de que la salud reproductiva es una prestación agregada en lugar de un aspecto integral de la atención primaria de las mujeres en edad fértil. La provisión de estas prestaciones por los sistemas de atención primaria se ha limitado debido a la falta de promoción de métodos clínicos que contribuyan a la evaluación del riesgo y los procesos de intervención. Las novedades en el contexto de la informática aplicada a la salud expanden las posibilidades de perfeccionar los importantes servicios de la salud reproductiva en la actividad médica cotidiana. Una revisión de estos avances informáticos relacionados con la salud reproductiva podría contribuir a la optimización de estos servicios por parte de los médicos clínicos.

Syndromic Surveillances based on the Emergency Department / 예방의학회지

Due to heightened concerns regarding possible bioterrorist attacks, the Korea Center for Disease Control and Prevention introduced syndromic surveillance systems, which have been run by emergency departments in hospitals throughout Korea since 2002. These systems are designed to identify illness clusters before diagnoses are confirmed and reported to public health agencies, to mobilize a rapid response, and thereby to reduce morbidity and mortality. The Korea Center for Disease Control and Prevention performed drop-in syndromic surveillance successfully during the World Cup Football Games in 2002, the Universiad games in 2004, and the Asian Pacific Economic Cooperation meeting in 2005. In addition, sustainable syndromic surveillance system involving the collaborative efforts of 125 sentinel hospitals has been in operation nationwide since 2002. Because active data collection can bias decisions a physician makes, there is a need to generate an automatic and passive data collection system. Therefore, the Korea Center for Disease Control and Prevention plans to establish computerized automatic data collection systems in the near future. These systems will be used not only for the early detection of bioterrorism but also for more effective public health responses to disease.

Introduction and Evaluation of Communicable Disease Surveillance in the Republic of Korea / 예방의학회지

Effective communicable disease surveillance systems are the basis of the national disease prevention and control. Following the increase in emerging and re-emerging infectious diseases since late 1990s, the Korean government has strived to enhance surveillance and response system. Since 2000, sentinel surveillance, such as influenza sentinel surveillance, pediatric sentinel surveillance, school-based sentinel surveillance and ophthalmological sentinel surveillance, was introduced to improve the surveillance activities. Electronic reporting system was developed in 2000, enabling the establishment of national database of reported cases. Disweb, a portal for sharing communicable disease information with the public and health care workers, was developed. In general, the survey results on usefulness and attributes of the system, such as simplicity, flexibility, acceptability, sensitivity, timeliness, and representa-tiveness, received relatively high recognition. Compared to the number of paid cases of national health insurance, reported cases by national notifiable disease surveillance system, and various sentinel surveillance system, the result of the correlation analysis was high. According to the research project conducted by KCDC, the reporting rate of physicians in 2004 has also greatly improved, compared with that in 1990s. However, continuous efforts are needed to further improve the communicable disease surveillance system. Awareness of physicians on communicable disease surveillance system must be improved by conducting education and information campaigns on a continuous basis. We should also devise means for efficient use of various administrative data including cause of death statistics and health insurance. In addition, efficiency of the system must be improved by linking data from various surveillance system.

Adverse Drug Reaction Surveillance System in Korea / 예방의학회지

Despite extensive researches and pre-market clinical trials, only limited information on the adverse drug reactions (ADRs) of a drug can be collected at the time of market approval from regulatory agency. ADRs constitute a major public health problem. Post-marketing surveillance of drugs is important to detect signals for ADR. In Korea, one of the main methods for monitoring the safety of marketed drugs is spontaneous reporting system of suspected ADRs. Re-examination and re-evaluation system are in force for monitoring safety of new market approval drugs and currently under marketing drugs, respectively. Recently, regional pharmacovigilance centers were designated from Korean Food and Drug Administration for facilitating ADR surveillance. Over recent years, with the development of information technology, there has been an increased interest in establishing data mining system for detecting signals from Health Insurance Review Agency database. The purpose of this paper is to review the current status of Korean ADR surveillance system and suggest the possible solutions for developing active pharmacovigilance system in Korea.

Seminário de Comunicação, Informação e Informática em Saúde / Seminar on Health Communication, Information and Informatics

Os seminários regionais que antecedem Seminário Nacional de Comunicação, Informação e Informática em Saúde estão se aproximando. A primeira etapa de discussão será em Manaus, entre os dias 25 e 27 de agosto. O Objetivo dos seminários regionais é debater possíveis mudanças no campo da comunicação, informação e informática em saúde, inclusive em suas políticas públicas. O Seminário Nacional acontecerá em dezembro, nos dias 8 e 9, em Brasília. Questões estratégicas ligadas à comunicação, à informação e à informática em saúde estão sendo apresentadas para auxiliar nos trabalhos dos Seminários Regionais, que antecederão o Seminário Nacional, em dezembro de 2005