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“Computers are useless. They can only give you answers.” Pablo Picasso, Catalyuna.
History
The Cat@Salut La Meva Salut (LMS) project was initiated started in 2009 and opened to the entire Catalan population all Catalans had access in 2012. However, access Initial use to the platform by patients was initially scarce for various reasons; the most significant being that access was restricted to the use was low, primarily due to the requirement of a digital certificate, which few people had at their disposal. Various identity verification alternatives were explored , ensuring compliance with to simplify access while meeting legal and security requirements, to allow citizens to access it more easily and simply. The most suitable proposal was a robust password accessible from various devices (computer, tablet, and mobile). This proposal was worked on from the perspective of its functional and technical feasibility, ensuring compliance with legal regulations and the necessary security in handling this type of data. Once these challenges were resolved, a pilot test was carried out to implement the username and password in 33 .
Primary care centres' face-to-face identity verification provided the best solution. After this, a 2014 pilot test provided the username and password system in 33 of the 400 basic health areas (ABS).
In June 2014, the necessary tools to develop the project began to be created. In July 2014, the provider entities were informed, and training and informational documents were designed, as well as a method for validating access to the Central Register of Insured Persons (RCA).
In September 2014, territorial training began, it was disseminated through the media, and informational materials were distributed.
Finally, on October 1, 2014, the pilot test was launched progressively in the selected ABS and extended throughout the first months of 2015.
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Berruezo, M., Gallego, C., González, M., Piqué, J. L., Solans, Ò., Hernández, S., Abdón, N. (2016). La Meva Salut i l’acreditació ciutadana per accedir-hi. Annals de Medicina, 99, 105-107.
At the time of writing, La Meva Salut is a personal digital health space that allows the citizens of Catalonia to relate in a non-face-to-face manner with the Catalan Health System. It makes it easier for its users to consult clinical reports, diagnoses, and results of clinical analyses and tests that are part of their clinical history. Patients can also access the current Medication Plan to go directly to the pharmacy, request a primary care visit, and access various non-face-to-face care services such as eConsulta, which allows healthcare professionals to make health consultations, carry out procedures, and send documents. In clinical reports, patients can consult and download the medical notices of leave and discharge from work.
Features
In La Meva Salut, the patient can access information stored in their shared medical history, encompassing the care received in the health centers of Catalonia's health system. The key services and information available to the patient in La Meva Salut include:
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Details of the patient's primary care team, comprising the assigned doctor and nurse.
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Access more than tripled so rollout was spread to all primary care areas in Catalonia in May 2015 (Aanestad et al., 2017).
Features
La Meva Salut 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 leaves of absence work leave and return to work.
Record A record of administered vaccines and immunizationsimmunisations.
The patient's patient’s current medication plan.
A personal agenda detailing showing scheduled tests and visits in to primary health care centres and hospitals (as where this service is integrated).
Information regarding on the waiting list in case the patient is awaiting surgery for any pending surgeries.
Access to the advance will document (if the patient has registered itone).
The option ability to express the intent to become an organ and tissue donor, along with the ability to print a personalized donor card.
Utilizing Use of eConsulta to communicate with healthcare professionals for non-urgent queries matters that do not require face-to-face interactioncontact.
Appointment service for requesting visits.
The option to request a change of doctor.The ability to schedule appointments, including for international vaccinations.
The capability option to securely download clinical information in a coded format , utilizing using the Health data to share feature.
Certain services vary based Feature availability depends on the patient's eligible healthcare provider (e.g., hospitals , or primary care centers, etc.) contingent on centres). The patient’s provider is determined by their place of residence. These functionalities are continually expanding in accordance with the availability of suppliersData 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.).
Challenges and areas for improvement
Despite the many benefits of La Meva Salut, there are still some areas where the platform faces challenges and limitations:
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.
Note on the website: “When exploring individual tabs, please keep in mind the ongoing development of this project. The data integration process is gradual, as centers within the Comprehensive Health System for Public Use of Catalonia (SISCAT) continue to contribute information. Thus, some historical clinical data may not be immediately accessible. For further inquiries about La Meva Salut, reach out to 061 Salut Respon.”(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 through the form below:at book@phr4gov.org
Screenshots
If you click on the second tab, this is the info you get:
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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).