![]() ![]() "On a day-to-day basis, the problems for citizens caused by the lack of interoperability at the European level are not particularly obvious, but the need for interoperability emerges whenever there is a challenge that goes beyond a specific country or region, such as the coronavirus." The barriers to exchanging health data and information in Europe have become readily apparent with the COVID-19 pandemic. Because we have a highly decentralized healthcare system, the interoperability of data between the autonomous communities is very limited, and this affects the mobility of data, and therefore the quality of health services for citizens, who may have difficulties with their data being accessible in other autonomous communities." In the case of Spain, the researcher pointed out that the country has a level of digitization which is "very high, at the level of the most advanced countries in Europe, such as Estonia, Denmark, Finland and Sweden," but he qualified his assessment: "the autonomous communities are leaders in Europe, but not the central government. Spain: limited interoperability between autonomous communities This variety means that it is difficult to create a definitive profile, as there are interoperable systems between some regions and even between entire countries, as is the case with Estonia and Finland, but they are not the majority, which is a barrier to interoperability at the European level," explained Francisco Lupiáñez. "Europe's healthcare systems are organized in very varied ways: They are centralized, decentralized, dependent on public insurers, private, etc. This variety applies both between countries and between regions within the same country. "While most countries have established digital health record systems, an interoperable EHR is not in force in most of the systems studied, and many patients can not easily access and use their data, or transfer them between healthcare providers," said Francisco Lupiáñez Villanueva, a member of the Faculty of Information and Communication Sciences of the UOC and the managing partner of Open Evidence. The results of the report present a mixed picture of the development of this basic technological system for digital health. A new report by the European Commission, led by the renowned UOC spin-off company Open Evidence, has examined the implementation of the electronic health record in the European Union countries, Norway and the United Kingdom, and the current degree of interoperability. If this information is to be used to improve clinical care and epidemiological surveillance, these data must be interoperable between different government bodies and countries. The electronic health record ( EHR) is a system that collects, systematizes and stores patients' data in a digital format. ![]()
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