Electronic health records and patient registries in medical oncology departments in Spain
Por:
Ribelles, N, Alvarez-Lopez, I, Arcusa, A, Chacon, JI, de la Haba, J, Garcia-Corbacho, J, Garcia-Mata, J, Jara, C, Jerez, JM, Lazaro-Quintela, M, Leon-Mateos, L, Ramirez-Merino, N, Tibau, A, Garcia-Palomo, A
Publicada:
1 oct 2021
Ahead of Print:
1 abr 2021
Resumen:
Purpose We aimed to evaluate the current situation of electronic health records (EHRs) and patient registries in the oncology departments of hospitals in Spain. Methods This was a cross-sectional study conducted from December 2018 to September 2019. The survey was designed ad hoc by the Outcomes Evaluation and Clinical Practice Section of the Spanish Society of Medical Oncology (SEOM) and was distributed to all head of medical oncology department members of SEOM. Results We invited 148 heads of oncology departments, and 81 (54.7%) questionnaires were completed, with representation from all 17 Spanish autonomous communities. Seventy-seven (95%) of the respondents had EHRs implemented at their hospitals; of them, over 80% considered EHRs to have a positive impact on work organization and clinical practice, and 73% considered that EHRs improve the quality of patient care. In contrast, 27 (35.1%) of these respondents felt that EHRs worsened the physician-patient relationship and conveyed an additional workload (n = 29; 37.6%). Several drawbacks in the implementation of EHRs were identified, including the limited inclusion of information on both outpatients and inpatients, information recorded in free text data fields, and the availability of specific informed consent. Forty-six (56.7%) respondents had patient registries where they recorded information from all patients seen in the department. Conclusion Our study indicates that EHRs are almost universally implemented in the hospitals surveyed and are considered to have a positive impact on work organization and clinical practice. However, EHRs currently have several drawbacks that limit their use for investigational purposes.
Filiaciones:
Ribelles, N:
Hosp Univ Virgen de la Victoria, Reg Univ Hosp, Med Oncol Interctr Unit, IBIMA, Campus Teatinos S-N, Malaga 29010, Spain
Hosp Univ Virgen de la Victoria, Virgen de la Victoria Univ Hosp, Med Oncol Interctr Unit, IBIMA, Campus Teatinos S-N, Malaga 29010, Spain
Alvarez-Lopez, I:
Hosp Univ Donostia BioDonostia, Med Oncol Dept, Donostia San Sebastian, Gipuzkoa, Spain
Arcusa, A:
Consorci Sanitari Terrassa, Oncol Dept, Barcelona, Spain
Chacon, JI:
Hosp Virgen de la Salud, Med Oncol Dept, Toledo, Spain
de la Haba, J:
Hosp Univ Reina Sofia, Inst Invest Biomed Cordoba IMIBIC, Med Oncol Dept, Cordoba, Spain
Garcia-Corbacho, J:
Hosp Clin IDIBAPs, Med Oncol Dept, Barcelona, Spain
Garcia-Mata, J:
Complexo Hosp Univ Ourense, Med Oncol Dept, Orense, Spain
Jara, C:
Hosp Univ Fdn Alcorcon, Oncol Dept, Madrid, Spain
Jerez, JM:
Univ Malaga, Dept Languages & Comp Sci, ETSI Ingn Informat, Malaga, Spain
Lazaro-Quintela, M:
Hosp Alvaro Cunqueiro, Med Oncol Dept, Vigo, Spain
Leon-Mateos, L:
Complexo Hosp Univ Santiago de Compostela, Hlth Res Inst Santiago IDIS, Med Oncol Dept, Santiago De Compostela, Spain
Ramirez-Merino, N:
Hosp Univ Infanta Elena, Oncol Med, Madrid, Spain
Tibau, A:
Hosp Santa Creu & Sant Pau, Med Oncol Dept, Barcelona, Spain
Garcia-Palomo, A:
Complejo Asistencial Univ Leon, Inst Biomed IBIOMED, Med Oncol Dept, Leon, Spain
Green Published, hybrid
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