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“Computers are useless. They can only give you answers.” Pablo Picasso, Catalyuna.
History
The La Meva Salut project was initiated started in 2009 and made available to the entire Catalan population all Catalans had access in 2012. However, initial patient access Initial use to the platform was low, primarily due to the requirement of a digital certificate, which few people possessedhad. Various identity verification alternatives were explored to simplify access while meeting legal and security requirements.
The most viable solution was a robust username and password system, coupled with a Primary care centres' face-to-face identity verification process at primary care centresprovided the best solution. After overcoming these challengesthis, a 2014 pilot test was conducted in 2014, introducing provided the username and password system in 33 of the 400 basic health areas (ABS). The success of this pilot led to a full rollout of the new registration and authentication process across Access more than tripled so rollout was spread to all primary care areas in Catalonia in May 2015 , resulting in a significant increase in patient access to the portal (Aanestad et al., 2017).As of August 2024, La Meva Salut is a personal digital health platform that allows citizens of Catalonia to interact remotely with the Catalan Health System. The platform enables users to view clinical reports, diagnoses, and test results from their medical history, access their current medication plan for use in pharmacies, book primary care appointments, and use various remote services such as eConsulta for health consultations and document exchanges with healthcare professionals. Additionally, patients can view and download medical certificates for work leave and discharge (Generalitat de Catalunya, n.d.).
Features
Through La Meva Salut , patients can access their shared medical history, which covers care received within Catalonia’s health system. The services and information available to patients include:
Details of their primary care team, including the assigned doctor and nurse, with the option to change doctor.
Diagnostics and clinical reports, covering emergency care, admissions, ambulatory care, test results, and medical notices for work leave and return to work.
A record of administered vaccines and immunisations.
The patient’s current medication plan.
A personal agenda showing scheduled tests and visits to primary care centres and hospitals (where this service is integrated).
Information on the waiting list for any pending surgeries.
Access to the will document (if the patient has registered one).
The ability to express the intent to become an organ and tissue donor.
Use of eConsulta to communicate with healthcare professionals for non-urgent matters that do not require face-to-face contact.
The ability to schedule appointments, including for international vaccinations.
The option to securely download clinical information in a coded format using the Health data to share feature.
According to the Catalan Health Service, services vary depending Feature availability depends on the patient’s healthcare provider (e.g., hospitals or primary care centres), which are . The patient’s provider is determined by their place of residence. The functionalities mentioned are continually expanding, as the project is still under development, meaning not all patients will have access to the same health data. The data integration process Data integration is gradual, relying on healthcare centres within the Comprehensive Health System for Public Use of Catalonia (SISCAT) to continue contributing information (Generalitat de Catalunya, n.d.).
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Limited Data Input: Patients are unable to add personal medical data directly into the system.
Exclusively Public Healthcare Data: La Meva Salut exclusively relies on data provided by Public Healthcare providers.
(PKB interviews, 2024)
Published outcomes - statistics
Unfortunately, we couldn’t find any statistics about the use of La meva salut in Catalunya. If you have access to this information or can put us in touch with someone who has, please contact us at book@phr4gov.org
Screenshots
Bibliography
Aanestad, M., Grisot, M., Hanseth, O. and Vassilakopoulou, P., 2017. Information infrastructures within European health care: Working with the installed base. Available at: https://library.oapen.org/bitstream/handle/20.500.12657/27913/1002086.pdf (accessed 8 August 2023).
Generalitat de Catalunya. (, n.d. ) La Meva Salut. Available at: https://catsalut.gencat.cat/ca/serveis-sanitaris/la-meva-salut/index.html#googtrans(ca%7Cen) (accessed: 8 August 2023).
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