Medizinische Datenhaltung – Ansatz, Konzepte, strategische und operative Implikationen

Zusammenfassung

Die Erfassung, Auswertung und Bewirtschaftung klinischer Daten mittels elektronischer Anwendungen hat in der Medizin bereits eine weite Verbreitung gefunden. Der Digitalisierung von Patientenakten werden signifikante Effizienz- und Effektivitätspotenziale beigemessen, die auch dazu führen, dass seitens des Gesetzgebers und der Selbstverwaltungsorgane zahlreiche Initiativen gestartet wurden, um möglichst in naher Zukunft eine flächendeckende Etablierung von elektronischen Patientenakten in den klinischen Entitäten sicherzustellen. Gleichwohl liegen die deutschen Krankenhäuser und Praxen im internationalen Vergleich weit zurück. Der folgende Artikel beschreibt die Prinzipien der elektronischen medizinischen Datenhaltung und erläutert die verschiedenen Ansätze, die im internationalen Kontext verfolgt werden. Darüber hinaus wird diskutiert, wie mithilfe elektronischer Datenerfassungs- und Bewirtschaftungssysteme Wert im Sinne von höherer Versorgungsqualität oder von geringeren Versorgungskosten geschaffen werden kann. Und schließlich werden die strategischen und operativen Implikationen abgeleitet und konkrete Handlungsempfehlungen gegeben, wie die Einführung einer organisationsweiten elektronischen Patientenakte optimal gestaltet werden kann.

Schlüsselwörter:

Elektronische Patientenakte - Digitalstrategie - Digitale Transformation - ePA - elektronische Gesundheitsakte - Krankenhaus

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