2011, Number 1
Rev Med UV 2011; 11 (1)
Vázquez LH, Martínez CR, Blázquez DC, Castañeda SR
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ABSTRACTThis article shows the need to implement a universal electronic medical record as means to create the foundations for a more efficient and reliable electronic hospital management system, capable to be linked with a public electronic health system. Mexico has an official policy for the medical record, which serves as the base for a universal electronic medical record. The main benefit for the creation of a standard version of the medical record is to lay the foundations that leverage an electronic public health scheme, with the challenges and benefits that come with it. Actually, the Mexican policy for medical records is not enough to implement a standardized electronic medical record; neither Health Secretary has the required computational infrastructure to manage it. Therefore, it is necessary to consider key aspects like standard medical nomenclature that includes diseases, clinical and medical procedures, and data transmission standards: medical, clinical, and imaging. The human factor should be added to the above, that is, if health professionals do not embrace the new electronic schemes or if patients oppose, the government would face a tough barrier to overcome. Also, this article discusses the legal aspects that rule and/or lacks to regulate the implementation of the electronic medical record. Finally, a review of the possible advantages for Mexico to have a public health system based on a universal electronic medical record is provided.