RESUMO
BACKGROUND: Medical practice and patient-doctor relationship will continue improving while technology is integrated in our everyday life. In recent years the term eHealth landmarked a new era with improved health provider's skills and knowledge, and increased patient participation in medical care activities. OBJECTIVE: To show why the design and implementation of a healthcare system needs to follow a specific philosophy dictated by the level of eHealth maturity of a country and its citizens. METHODS: Based on the maturity level, an adaptable framework for implementing an Electronic Health System at national level is derived, guided by the Patient Centered Philosophy as defined and introduced by the EU directives. Implementation prerequisites are analyzed together with guiding principles for identifying the maturity level of an organization or country. RESULTS: Cyprus being a small EU country, it can be used as pilot site for the whole Europe, was chosen for this study and its maturity level analysis is presented. Recommendations that determine general steps needed to prepare the ground for an adequate patient-centered national healthcare system are accompanied. CONCLUSION: The implementation of an integrated Electronic Health Record at National level, as a prerequisite for a patient-centered eHealth environment is evidently demonstrated.
Assuntos
Registros Eletrônicos de Saúde/organização & administração , Participação do Paciente , Assistência Centrada no Paciente/organização & administração , Relações Médico-Paciente , Telemedicina/organização & administração , Europa (Continente) , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Armazenamento e Recuperação da Informação , Internacionalidade , Acesso dos Pacientes aos RegistrosRESUMO
The design and implementation of a healthcare system needs to follow a specific philosophy regarding its operational structure and must be adapted gradually with one step at a time, depending on the level of maturity of a country on certain key issues. The main goal of this paper is to present an overall recommendations framework for implementing an Electronic Health System at national level, guided by the Patient Centered Philosophy. Certain prerequisites for implementing such systems are analyzed together with guiding principles for identifying the maturity level of an organization or country. The maturity level analysis for Cyprus is presented and is accompanied by some recommendations that determine the steps needed to prepare the ground for a complete patient centered national healthcare system.
