Il Fascicolo Sanitario Personale: quale impatto sui cittadini italiani?

Translated title of the contribution: [Autom. eng. transl.] The Personal Health Record: what impact on Italian citizens?

Umberto Moscato, Giovanna Giannetti, Andrea Poscia, Agnese Collamati

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

[Autom. eng. transl.] In Italy, as in many other countries, the implementation of the Personal Health Record (FaSP) is in progress as a tool for improvement. The FaSP must allow a safe sharing of the clinical documentation of each individual citizen in the network and therefore foresees an important role for the users who, in addition to having to express their consent to the FaSP, will have to actively and constantly interact with the file contributing in this way the success of the same. The present systematic review of the literature aims to summarize the current knowledge on the impact and satisfaction that the Electronic Health Record (EHR) has achieved in the other countries where this system has already been implemented, in order to derive a scenario hypothesis for Italy at the adoption of the FaSP. The research was carried out on some of the main databases (MEDLINE, EMBASE, The Cochrane Library, CINAHL). The publications were selected in the 2006-2011 period and their quality and relevance to the objectives of the study were assessed. Text and abstract screening through keywords (patient satisfaction, adoption electronic health records, web portal, etc.) identified 1962 potentially relevant publications, of which 41 were evaluated as a full text and only 13 were chosen according to the inclusion criteria (English, with Impact Factor, studies on chronic patients, etc.). Each type of user has identified the critical factors and benefits of the EHR system that can be correlated to their ability to use an IT tool and their individual priorities. The main critical points found were technical, of adaptation to the instrument, of doubts about the security and privacy of the system. The main benefits found, interpreted as improving the quality of the health services provided, were: guarantee of continuity of care, immediate availability of data concerning one's health. Furthermore it was found that, although in a net minority, users correct incorrect data on their health record while access to the record is mainly aimed at consulting the results of diagnostic tests and clinical reports. The present study confirms that the satisfaction of the citizen abroad in the use of the EHR is generally positive and, therefore, in Italy the response of citizens to the FaSP could, if well managed, motivated with appropriate empowerment of the population, and structured to correct the errors already highlighted, obtain a good degree of satisfaction in the population.
Translated title of the contribution[Autom. eng. transl.] The Personal Health Record: what impact on Italian citizens?
Original languageItalian
Title of host publicationXII Conferenza Nazionale di Sanità Pubblica La Sanità pubblica tra globalizzazione, nuove esigenze di salute e sostenibilità economica: la sfida dell'integrazione
Pages667
Number of pages1
Publication statusPublished - 2011
EventXII Conferenza Nazionale di Sanità Pubblica La Sanità pubblica tra globalizzazione, nuove esigenze di salute e sostenibilità economica: la sfida dell'integrazione - Roma
Duration: 12 Oct 201115 Oct 2011

Conference

ConferenceXII Conferenza Nazionale di Sanità Pubblica La Sanità pubblica tra globalizzazione, nuove esigenze di salute e sostenibilità economica: la sfida dell'integrazione
CityRoma
Period12/10/1115/10/11

Keywords

  • Direzione sanitaria

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