RESUMO
RESUMEN En el presente artículo se sistematizaron las principales acciones de transformación digital (TD) de los sistemas de salud que abordan a las funciones esenciales de la salud pública (FESP). Se realizó una revisión narrativa, donde se interrelacionó el marco conceptual de las funciones esenciales de la salud pública renovadas con los ocho principios rectores de la transformación digital del sector de la salud. En las publicaciones seleccionadas, se halló que las principales acciones de la TD comprenden la historia clínica electrónica, la telemedicina, la legislación en salud digital, la alfabetización digital, los portales del paciente, las tecnologías de código abierto y la gobernanza de datos. Estas acciones posibilitan aumentar la calidad y la eficiencia de los sistemas de salud, favorecer la accesibilidad y mejorar los resultados de salud.
ABSTRACT This article systematizes the main actions taken to address the essential public health functions (EPHF) in the context of the digital transformation of health systems. A narrative review was conducted, in which the conceptual framework of the renewed EPHF was linked to the eight guiding principles of the digital transformation of the health sector. In the selected publications, the main actions in digital transformation included electronic health records, telemedicine, digital health legislation, digital literacy, patient portals, open-source technologies, and data governance. These actions make it possible to increase the quality and efficiency of health systems, promote accessibility, and improve health outcomes.
RESUMO Este artigo sistematiza as principais ações de transformação digital (TD) dos sistemas de saúde relacionadas às funções essenciais de saúde pública (FESP). Foi realizada uma revisão narrativa, inter-relacionando o marco conceitual das FESP renovadas com base nos os oito princípios orientadores da transformação digital do setor da saúde. Nas publicações selecionadas, constatou-se que as principais ações de TD incluem prontuários eletrônicos, telemedicina, legislação de saúde digital, letramento digital, portais para pacientes, tecnologias de código aberto e governança de dados. Essas ações permitem aumentar a qualidade e a eficiência dos sistemas de saúde, aprimorar a acessibilidade e melhorar os resultados de saúde.
RESUMO
Background@#eHealth is the use of information and communication technologies (ICT) for health. It helps in improving the flow of information, through electronic means, in support of the delivery of health services, and the management of health systems. eHealth is used as the strategic context and tool in achieving population health, improved health system status, and socio-economic development goals. @*Objectives@#This study is aimed at looking at the Philippine National eHealth Strategy, particularly the components of Terminology Standards and Interoperability concerning the eHealth strategy in the Philippines, and to assess the barriers and gaps in the integration of these two components. @*Methods@#This study used secondary literature, internet search, Philippine laws, administrative orders, memorandum circulars, and grey literature to discourse terminology standards and interoperability in the Philippine eHealth system, and issues and gaps related to these components that may impede the delivery of Universal Health Coverage in the country. @*Results@#The current Philippine National eHealth strategy includes the following sector governance, legislation, policy and compliance, eHealth solution (i.e., services and applications), strategy and investment, infrastructure (government), human resources, and standards and interoperability. Philippine Health Information Exchange (PHIE) is a software platform in the country that aims to connect many isolated electronic health systems. The proposed interoperability layer across health systems and services in the Philippines includes Patient’s Primary Healthcare Consultation at the Rural Health Unit, health research, legal information, patient healthcare at tertiary hospital, and health insurance claims. The study results showed that issues and gaps related to the interoperability of eHealth in the Philippines include technical issues such as lack of common semantics, lack of an institutional mechanism to regulate EMR, lack of incentives among eHealth providers and stakeholders to adopt standards for interoperability.@*Conclusion@#The effort of the Philippines to achieve interoperability and standards in eHealth goals can be characterized as a work in progress. The government, private sector, physician, patient, and other stakeholders are deemed to continuously develop a shared vision and interoperate under a standardized guide as eHealth is a complex endeavor that covers many aspects.