RT Journal Article
T1 Improving integrated care in chronic kidney failure patients with a standard-based interoperability framework.
A1 Núñez-Benjumea, Francisco
A1 Moreno-Conde, Alberto
A1 Jódar-Sánchez, Francisco
A1 Martínez-García, Alicia
A1 Parra-Calderón, Carlos L
K1 Comparative Effectiveness Research
K1 Electronic Health Records
K1 Integrated Care
K1 Chronic Kidney Failure
K1 Interoperability Framework
K1 Archetypes
K1 Diálisis Renal
K1 Sistemas de Información en Laboratorio Clínico
K1 Registros Electrónicos de Salud
AB This paper introduces the evaluation report after fostering a Standard-based Interoperability Framework (SIF) between the Virgen del Rocío University Hospital (VRUH) Haemodialysis (HD) Unit and 5 outsourced HD centres in order to improve integrated care by automatically sharing patients' Electronic Health Record (EHR) and lab test reports. A pre-post study was conducted during fourteen months. The number of lab test reports of both emergency and routine nature regarding to 379 outpatients was computed before and after the integration of the SIF. Before fostering SIF, 19.38 lab tests per patient were shared between VRUH and HD centres, 5.52 of them were of emergency nature while 13.85 were routine. After integrating SIF, 17.98 lab tests per patient were shared, 3.82 of them were of emergency nature while 14.16 were routine. The inclusion of a SIF in the HD Integrated Care Process has led to an average reduction of 1.39 (p=0.775) lab test requests per patient, including a reduction of 1.70 (p=0.084) in those of emergency nature, whereas an increase of 0.31 (p=0.062) was observed in routine lab tests. Fostering this strategy has led to the reduction in emergency lab test requests, which implies a potential improvement of the integrated care.
PB IOS Press
YR 2014
FD 2014
LK http://hdl.handle.net/10668/1994
UL http://hdl.handle.net/10668/1994
LA en
NO Núñez-Benjumea F, Moreno-Conde A, Jódar-Sánchez F, Martínez-García A, Parra-Calderón CL. Improving integrated care in chronic kidney failure patients with a standard-based interoperability framework. Stud Health Technol Inform. 2014 ; 205:617-21
NO Journal Article;
DS RISalud
RD Apr 19, 2025