Electronic health records and patient registries in medical oncology departments in Spain
Ribelles, Nuria (Instituto de Investigación Biomédica de Málaga)
Alvarez-Lopez, Isabel (Biodonostia Osasun Ikerketako Institutura (País Basc))
Arcusa, Àngels (Consorci Sanitari de Terrassa)
Chacón, José Ignacio (Hospital Virgen de la Salud (Toledo))
de la Haba Rodríguez, Juan Rafael (Hospital Universitario Reina Sofía (Còrdova, Espanya))
Garcia-Corbacho, Javier (Hospital Clínic i Provincial de Barcelona)
Garcia-Mata, Jesus (Complejo Hospitalario Universitario de Ourense)
Jara Sánchez, Carlos (Hospital Universitario Fundación Alcorcón)
Jerez, José Manuel (Universidad de Málaga)
Lázaro, Martín (Hospital Álvaro Cunqueiro (Vigo))
Leon, Luis (Complejo Hospitalario Universitario de Santiago de Compostela)
Ramirez-Merino, Natalia (Oncología Médica, Hospital Universitario Infanta Elena (Madrid))
Tibau Martorell, Ariadna (Institut d'Investigació Biomèdica Sant Pau)
Garcia Palomo, Andrés (Complejo Asistencial Universitario de León)
Universitat Autònoma de Barcelona

Data:	2021
Resum:	We aimed to evaluate the current situation of electronic health records (EHRs) and patient registries in the oncology departments of hospitals in Spain. 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. 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. 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. Not applicable The online version contains supplementary material available at 10. 1007/s12094-021-02614-9.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Electronic health records ; Patient registries ; Medical oncology ; Work organization ; Clinical practice ; Clinical research
Publicat a:	Clinical & Translational Oncology, Vol. 23 (april 2021) , p. 2099-2108, ISSN 1699-3055

DOI: 10.1007/s12094-021-02614-9
PMID: 33864619

10 p, 1.0 MB

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