Abstract

The emergence of new technologies in society through its application to many areas and very diverse realities is a clear element in the time in which we live. The health sector has been unable to escape this reality and has been renovated many of its traditional structures with new options brought by the application of information technology and communication (ICT) in areas such as management and hospital administration. This paper focuses on analyzing from the point of view of medical diagnosis the importance of electronic medical records as a unifying element of the information essential for this type of diagnosis, and the use of artificial intelligence techniques in this field. To this end the current situation of electronic medical records is analyzed in a country like Bolivia exhaustively analyzing three of the most important health centers. Is used for this unstructured interview experts on the subject reflect the current status of electronic medical records from the point of view of protection of the right to privacy of individuals and will serve as a model for development, not only in Bolivia but also in other Latin American countries.

Highlights

  • When we combine the concepts of computer science and medicine, identification leads us to think about the use of information and computer systems for hospital management and patient management, as well as of the possibilities offered by telemedicine

  • We proceeded to evaluate the state of the art of electronic health records within the healthcare facilities of the National Health System in Bolivia and, in particular, in the city of La Paz

  • Twenty unstructured interviews were conducted with key informants from the public sector, i.e. officials from the Ministry of Health (MoH), the National Health Information System (SNIS); the social security subsector, i.e. the Health Fund of Private Banking (CSBP), and the Military Social Insurance Corporation (COSSMIL); as well as with informants from the private non-profit subsector, i.e. Arco Iris Hospital

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Summary

Introduction

When we combine the concepts of computer science and medicine, identification leads us to think about the use of information and computer systems for hospital management and patient management, as well as of the possibilities offered by telemedicine. What we must do is systematize all that information and allow access to the various agents of the healthcare chain in order to obtain a complete medical history of the patient and to make decision-making as effective as possible All this information should be collected in an instrument that goes beyond mere medical history on paper, and should take advantage of all the benefits of the digital format. The analysis performed in EHRs is done from the point of view of protecting the fundamental right to privacy of individuals by establishing the measures that have been implemented in order to protect this right in the field of security To do this we proceeded to use the unstructured interview to qualified personnel from different fields, which has come to reflect the current status of electronic health records. The various interviews with experts on the protection of personal data, information technology and communications (ICT) and bioethics, seek to gather their views, their consensus, their differences and predictions on the matter

The Electronic Health Record
Application to the Bolivian Case
Conclusions
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