Proposal of a learning health system to transform the National Health System of Spain

This article identifies the main challenges of the National Health Service of Spain and proposes its transformation into a Learning Health System. For this purpose, the main indicators and reports published by the Spanish Ministries of Health and Finance, Organization for Economic Co-operation and D...

Descripción completa

Detalles Bibliográficos
Autores: Carnicero Mazón, Rafael, Rojas de la Escalera, David, Elicegui Maestro, Ignacio|||0000-0003-0822-5522, Carnicero Giménez de Azcárate, Javier
Tipo de recurso: artículo
Fecha de publicación:2019
País:España
Institución:Universidad de Cantabria (UC)
Repositorio:UCrea Repositorio Abierto de la Universidad de Cantabria
Idioma:inglés
OAI Identifier:oai:repositorio.unican.es:10902/17220
Acceso en línea:http://hdl.handle.net/10902/17220
Access Level:acceso abierto
Palabra clave:Learning health system
Big Data applied to healthcare
Big Data applied to clinical research
Data protection
Patient’s phenotyping
Big Data applied to National Health System of Spain
id ES_48e06a348a92c19ea822881b0835d3f6
oai_identifier_str oai:repositorio.unican.es:10902/17220
network_acronym_str ES
network_name_str España
repository_id_str
spelling Proposal of a learning health system to transform the National Health System of SpainCarnicero Mazón, RafaelRojas de la Escalera, DavidElicegui Maestro, Ignacio|||0000-0003-0822-5522Carnicero Giménez de Azcárate, JavierLearning health systemBig Data applied to healthcareBig Data applied to clinical researchData protectionPatient’s phenotypingBig Data applied to National Health System of SpainThis article identifies the main challenges of the National Health Service of Spain and proposes its transformation into a Learning Health System. For this purpose, the main indicators and reports published by the Spanish Ministries of Health and Finance, Organization for Economic Co-operation and Development (OECD) and World Health Organization (WHO) were reviewed. The Learning Health System proposal is based on some sections of an unpublished report, written by two of the authors under request of the Ministry of Health of Spain on Big Data for the National Health System. The main challenges identified are the rising old age dependency ratio; health expenditure pressures and the likely increase of out-of-pocket expenditure; drug expenditures, both retail and consumed in hospitals; waiting lists for surgery; potentially preventable hospital admissions; and the use of electronic health record (EHR) data to fulfil national health information and research objectives. To improve its efficacy, efficiency, and quality, the National Health Service of Spain should be transformed into a Learning Health System. Information and communication technologies (IT) enablers are a fundamental tool to address the complexity and vastness of health data as well as the urgency that clinical and management decisions require. Big Data solutions are a perfect match for that problem in health systems.MDPI AGUniversidad de Cantabria20192019-09-10journal articlehttp://purl.org/coar/resource_type/c_6501NAhttp://purl.org/coar/version/c_be7fb7dd8ff6fe43info:eu-repo/semantics/articlehttp://hdl.handle.net/10902/17220Processes, 2019, 7(9), 613reponame:UCrea Repositorio Abierto de la Universidad de Cantabriainstname:Universidad de Cantabria (UC)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repositorio.unican.es:10902/172202026-06-02T12:39:31Z
dc.title.none.fl_str_mv Proposal of a learning health system to transform the National Health System of Spain
title Proposal of a learning health system to transform the National Health System of Spain
spellingShingle Proposal of a learning health system to transform the National Health System of Spain
Carnicero Mazón, Rafael
Learning health system
Big Data applied to healthcare
Big Data applied to clinical research
Data protection
Patient’s phenotyping
Big Data applied to National Health System of Spain
title_short Proposal of a learning health system to transform the National Health System of Spain
title_full Proposal of a learning health system to transform the National Health System of Spain
title_fullStr Proposal of a learning health system to transform the National Health System of Spain
title_full_unstemmed Proposal of a learning health system to transform the National Health System of Spain
title_sort Proposal of a learning health system to transform the National Health System of Spain
dc.creator.none.fl_str_mv Carnicero Mazón, Rafael
Rojas de la Escalera, David
Elicegui Maestro, Ignacio|||0000-0003-0822-5522
Carnicero Giménez de Azcárate, Javier
author Carnicero Mazón, Rafael
author_facet Carnicero Mazón, Rafael
Rojas de la Escalera, David
Elicegui Maestro, Ignacio|||0000-0003-0822-5522
Carnicero Giménez de Azcárate, Javier
author_role author
author2 Rojas de la Escalera, David
Elicegui Maestro, Ignacio|||0000-0003-0822-5522
Carnicero Giménez de Azcárate, Javier
author2_role author
author
author
dc.contributor.none.fl_str_mv Universidad de Cantabria
dc.subject.none.fl_str_mv Learning health system
Big Data applied to healthcare
Big Data applied to clinical research
Data protection
Patient’s phenotyping
Big Data applied to National Health System of Spain
topic Learning health system
Big Data applied to healthcare
Big Data applied to clinical research
Data protection
Patient’s phenotyping
Big Data applied to National Health System of Spain
description This article identifies the main challenges of the National Health Service of Spain and proposes its transformation into a Learning Health System. For this purpose, the main indicators and reports published by the Spanish Ministries of Health and Finance, Organization for Economic Co-operation and Development (OECD) and World Health Organization (WHO) were reviewed. The Learning Health System proposal is based on some sections of an unpublished report, written by two of the authors under request of the Ministry of Health of Spain on Big Data for the National Health System. The main challenges identified are the rising old age dependency ratio; health expenditure pressures and the likely increase of out-of-pocket expenditure; drug expenditures, both retail and consumed in hospitals; waiting lists for surgery; potentially preventable hospital admissions; and the use of electronic health record (EHR) data to fulfil national health information and research objectives. To improve its efficacy, efficiency, and quality, the National Health Service of Spain should be transformed into a Learning Health System. Information and communication technologies (IT) enablers are a fundamental tool to address the complexity and vastness of health data as well as the urgency that clinical and management decisions require. Big Data solutions are a perfect match for that problem in health systems.
publishDate 2019
dc.date.none.fl_str_mv 2019
2019-09-10
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
NA
http://purl.org/coar/version/c_be7fb7dd8ff6fe43
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/10902/17220
url http://hdl.handle.net/10902/17220
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv MDPI AG
publisher.none.fl_str_mv MDPI AG
dc.source.none.fl_str_mv Processes, 2019, 7(9), 613
reponame:UCrea Repositorio Abierto de la Universidad de Cantabria
instname:Universidad de Cantabria (UC)
instname_str Universidad de Cantabria (UC)
reponame_str UCrea Repositorio Abierto de la Universidad de Cantabria
collection UCrea Repositorio Abierto de la Universidad de Cantabria
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869407387652194304
score 15,301603

Similares en LA Referencia