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Sharing health data among general practitioners: The Nu.Sa. project
Emanuele Frontoni1, Adriano Mancini1, Marco Baldi1
1Department of Information Engineering, Università Politecnica delle Marche, Via Brecce Bianche, 12, Ancona 60131, Italy.
International Journal of Medical Informatics
|August 25, 2019
Summary
The Nu.Sa. project created Italy's first general practitioner (GP) healthcare information system, integrating diverse data sources for seamless clinical data access. This system enhances healthcare delivery by connecting patients, GPs, and organizations through secure, standardized data sharing.
Area of Science:
- Health Informatics
- Digital Health
- Healthcare Management
Background:
- E-health is increasingly integrated into healthcare workflows.
- General Practitioners (GPs) form the largest segment of Italy's public health service (approx. 60,000 GPs).
- A need exists for integrated healthcare information systems to manage heterogeneous data sources.
Purpose of the Study:
- To present the Nu.Sa. project, an early GP healthcare information system in Italy.
- To demonstrate a novel technological infrastructure for secure data sharing based on national interoperability standards.
- To evaluate the system's impact on the sanitary system and GPs' professional activities.
Main Methods:
- Development of a novel technological infrastructure for data sharing.
- Implementation of interoperability specifications recognized at the national level.
- Integration of data from 16 different GP software types, ensuring cybersecurity.
Main Results:
- The Nu.Sa. system currently manages over 5,000 GPs and 5.5 million patients.
- It processes approximately 4.7 million pharmacological e-prescriptions and 1.7 million e-prescriptions for laboratory exams monthly.
- The system demonstrates scalability and usability, impacting the national sanitary system and GP professional activities.
Conclusions:
- The Nu.Sa. project successfully established a large-scale, heterogeneous GP healthcare information system.
- The system facilitates comprehensive data sharing, connecting patients, GPs, and healthcare organizations securely.
- Standardized data and robust infrastructure are key to improving healthcare system efficiency and GP workflows.
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