History
The Cat@Salut La Meva Salut (LMS) project was initiated in 2009 and opened to the entire Catalan population in 2012. However, access to the platform by patients was initially scarce for various reasons; the most significant being that access was restricted to the use of a digital certificate, which few people had at their disposal. Various alternatives were explored, ensuring compliance with legal and security requirements, to allow citizens to access it more easily and simply. The most suitable proposal was a robust password and user name, coupled with a face-to-face procedure that had to be carried out at the primary care centre. 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 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.
At the time of writing, La Meva Salut is a personal digital health platform enabling citizens of Catalonia to interact remotely with the Catalan Health System. It simplifies the process for users to view clinical reports, diagnoses, and results from medical analyses and tests included in their medical history. Patients can also access their current Medication Plan for direct use at pharmacies, request appointments for primary care, and utilise various remote services such as eConsulta, which facilitates health consultations, procedures, and document exchanges with healthcare professionals. Additionally, clinical reports provide patients with the ability to view and download medical certificates for leave and discharge from work (Generalitat de Catalunya, n.d.).
Features
In La Meva Salut, the patient can access their shared medical history, encompassing the care received in the health centers of Catalonia's health system. The services and information available to the patient in La Meva Salut include:
Details of the patient's primary care team, comprising the assigned doctor and nurse, with the ability to change doctor.
Diagnostics and clinical reports encompassing emergency care, admissions, ambulatory care, test results, and medical notices for leaves of absence and return to work.
Record of administered vaccines and immunizations.
The patient's current medication plan.
A personal agenda detailing scheduled tests and visits in primary health care and hospitals (as this service is integrated).
Information regarding the waiting list in case the patient is awaiting surgery.
Access to the will document (if the patient has registered it).
The option to express the intent to become an organ and tissue donor.
Utilizing eConsulta to communicate with healthcare professionals for non-urgent queries that do not require face-to-face interaction.
Appointment service for requesting visits.
The ability to schedule appointments for international vaccinations.
The capability to securely download clinical information in a coded format, utilizing the Health data to share.
The Catalan Health Service website specifies that services vary based on the patient's healthcare provider (hospitals, primary care centers, etc.), which are in turn contingent on their place of residence. The functionalities mentioned above are continually expanding as the project development is ongoing, so not all patients will have access to the same data about their health. The data integration process is gradual and relies on the centers within the Comprehensive Health System for Public Use of Catalonia (SISCAT) continuing to contribute information.
(Generalitat de Catalunya, n.d.).
Challenges and areas for improvement
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.
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@patientsknowbest.com
Screenshots
If you click on the second tab, this is the info you get:
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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