Electronic health records in Brazil: Prospects and technological challenges

Fernandes, Felipe; Barros, Daniele Montenegro da Silva; Henriques, J.; Morais, Antônio Higor Freire de; Coutinho, Karilany Dantas; Neto, Giliate Cardoso Coelho; Chioro, Arthur; Valentim, Ricardo Alexsandro de Medeiros

doi:10.3389/fpubh.2022.963841

Cited by 6 publications

(4 citation statements)

References 72 publications

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“…The thematic map of EHR research studies at a global level identified themes, such as “clinical decision support”, “primary care”, “epidemiology”, “diabetes”, “palliative care”, “cancer”, “COVID”, and “telehealth” [ 37 ], which, by and large, align with the present study in the Australian context. Similar themes have been observed in other studies, such as in research conducted in Brazil [ 47 ] and in Europe [ 48 , 49 , 50 ], which underscores the universal drive towards interoperability, advancements in cloud computing and security, and the integration of AI and analytics for better decision making and patient care. These commonalities suggest a global consensus on the prioritized areas within EHR research.…”

Section: Discussionsupporting

confidence: 84%

Trends and Patterns in Electronic Health Record Research (1991–2022): A Bibliometric Analysis of Australian Literature

Xie,

Cebulla,

Bastani

et al. 2024

IJERPH

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Electronic Heath Records (EHRs) play vital roles in facilitating streamlined service provision and governance across the Australian health system. Given the recent challenges due to the COVID-19 pandemic, an ageing population, health workforce silos, and growing inefficiencies in traditional systems, a detailed historical analysis of the use of EHR research in Australia is necessary. The aim of this study is to examine the trends and patterns in EHR research in Australia over the past three decades by employing bibliometric methods. A total of 951 articles published in 443 sources were included in the bibliometric analysis. The annual growth rate of EHR research in Australia was about 17.1%. Since 2022, the main trending topics in EHR research were COVID-19, opioid usage, and natural language processing. A thematic analysis indicated aged care, clinical decision support systems, cardiovascular disease, drug allergy, and adverse drug reaction as the “hot” themes in EHR research in Australia. This study reveals a significant uptrend in EHR research in Australia, highlighting the evolving intellectual and collaborative landscape of this interdisciplinary field. The data also provide guidance for policymakers and funding institutions in terms of the most significant contributions and key fields of research while also holding public interest.

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Section: Discussionsupporting

confidence: 84%

Trends and Patterns in Electronic Health Record Research (1991–2022): A Bibliometric Analysis of Australian Literature

Xie,

Cebulla,

Bastani

et al. 2024

IJERPH

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“…Brazil made notable progress in EHRs from as early as 2011 when the country initiated a national health card to establish a unified health record for citizens, followed by the provision of technical support and resources for EHR implementation in primary care facilities (30). As a result, different states and municipalities began using various information systems since the late 1990s, leading to challenges in integration to form a national electronic health record (33,34). However, in 2019 Brazil implemented a National Health Data Network, a platform designed to enable the exchange of information across facilities in health care networks in both public and private sectors, creating a viable solution for their interoperability challenges.…”

Section: Discussionmentioning

confidence: 99%

Exploring the barriers and facilitators to implementing electronic health records in a middle-income country: a qualitative study from South Africa

Zharima

Griffiths

Goudge

2023

Front. Digit. Health

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IntroductionAs more countries are moving towards universal health care, middle-income countries in particular are trying to expand coverage, often using public funds. Electronic health records (EHR) are useful in monitoring patient outcomes, the performance of providers, and so the use of those public funds. With the multiple institutions or departments responsible for providing care to any individual, rather than a single record, an EHR is the interface through which to view data from a digital health information eco-system that draws on data from many different sources. South Africa plans to establish a National Health Insurance fund where EHRs will be essential for monitoring outcomes, and informing purchasing decisions. Despite various relevant policies and South Africa's relative wealth and digital capability, progress has been slow. In this paper, we explore the barriers and facilitators to implementing electronic health records in South Africa.MethodsIn this qualitative study, we conducted in-depth interviews with participants including academics, staff at parastatals, managers in the private health sector, NGO managers and government staff at various levels.ResultsThe Western Cape provincial government over a 20-year period has managed to develop a digital health information ecosystem by drawing together existing data systems and building new systems. However, despite having the necessary policies in place and a number of stand-alone population level digital health information systems, several barriers still stand in the way of building national electronic health records and an efficient digital health ecosystem. These include a lack of national leadership and conflict, a failure to understand the scope of the task required to achieve scale up, insufficient numbers of technically skilled staff, failure to use the tender system to generate positive outcomes, and insufficient investment towards infrastructural needs such as hardware, software and connectivity.ConclusionFor South Africa to have an effective electronic health record, it is important to start by overcoming the barriers to interoperability, and to develop the necessary underlying digital health ecosystem. Like the Western Cape, provincial governments need to integrate and build on existing systems as their next steps forward.

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“…More recently, when analyzing the period from 2004 to 2013, the researchers Moura et al [ 109 ] estimated the average incidence of ALS to be 0.461 cases per 100,000 inhabitants (with a trend of increasing incidence over the years), a rate similar to that of Dietrich-Neto et al [ 108 ]. It is worth mentioning that, in Brazil, until 2019, there was no compulsory notification system or national registry of Amyotrophic Lateral Sclerosis, which may have led to under-reporting [ 107 , 110 ].…”

Section: Discussionmentioning

confidence: 99%

Digital Alternative Communication for Individuals with Amyotrophic Lateral Sclerosis: What We Have

Fernandes

Júnior

Alves

et al. 2023

JCM

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Amyotrophic Lateral Sclerosis is a disease that compromises the motor system and the functional abilities of the person in an irreversible way, causing the progressive loss of the ability to communicate. Tools based on Augmentative and Alternative Communication are essential for promoting autonomy and improving communication, life quality, and survival. This Systematic Literature Review aimed to provide evidence on eye-image-based Human–Computer Interaction approaches for the Augmentative and Alternative Communication of people with Amyotrophic Lateral Sclerosis. The Systematic Literature Review was conducted and guided following a protocol consisting of search questions, inclusion and exclusion criteria, and quality assessment, to select primary studies published between 2010 and 2021 in six repositories: Science Direct, Web of Science, Springer, IEEE Xplore, ACM Digital Library, and PubMed. After the screening, 25 primary studies were evaluated. These studies showcased four low-cost, non-invasive Human–Computer Interaction strategies employed for Augmentative and Alternative Communication in people with Amyotrophic Lateral Sclerosis. The strategies included Eye-Gaze, which featured in 36% of the studies; Eye-Blink and Eye-Tracking, each accounting for 28% of the approaches; and the Hybrid strategy, employed in 8% of the studies. For these approaches, several computational techniques were identified. For a better understanding, a workflow containing the development phases and the respective methods used by each strategy was generated. The results indicate the possibility and feasibility of developing Human–Computer Interaction resources based on eye images for Augmentative and Alternative Communication in a control group. The absence of experimental testing in people with Amyotrophic Lateral Sclerosis reiterates the challenges related to the scalability, efficiency, and usability of these technologies for people with the disease. Although challenges still exist, the findings represent important advances in the fields of health sciences and technology, promoting a promising future with possibilities for better life quality.

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Electronic health records in Brazil: Prospects and technological challenges

Cited by 6 publications

References 72 publications

Trends and Patterns in Electronic Health Record Research (1991–2022): A Bibliometric Analysis of Australian Literature

Trends and Patterns in Electronic Health Record Research (1991–2022): A Bibliometric Analysis of Australian Literature

Exploring the barriers and facilitators to implementing electronic health records in a middle-income country: a qualitative study from South Africa

Digital Alternative Communication for Individuals with Amyotrophic Lateral Sclerosis: What We Have

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