Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Sağlıkta e-Rapor Sistemi: Problem Çözme Çalışması
e-Report System in Health: Problem Solving Study
Filiz İŞLEYENa
aT.C. Sağlık Bakanlığı, Sağlık Bilgi Sistemleri Genel Müdürlüğü, Ankara, Türkiye
Turkiye Klinikleri J Health Sci. 2023;8(4):686-97
doi: 10.5336/healthsci.2023-98574
Article Language: TR
Full Text
ÖZET
 Amaç: İçinde yaşadığımız dijital çağda, geçmişte uzun süreler alan birçok kurumsal işlemin artık çok daha kısa sürelerde tamamlandığı bilinmektedir. Sağlık raporu, yetkili hekim ya da hekimler tarafından düzenlenen ve kişinin bedensel veya zihinsel sağlığının yerinde olup olmadığını saptayan bir form, belgedir. Ülkemizde birçok farklı alanda kullanılmak üzere sağlık raporu düzenlenmektedir. Günümüzde sağlık hizmeti sunumunda, aile hekimlikleri başta olmak üzere tüm sağlık tesisleri iş ve işlemlerini elektronik ortamda Sağlık Bilgi Yönetim Sistemi (SBYS) aracılığı ile kayıt altına almaktadır. SBYS'lerde hazırlanan sağlık raporlarının mevzuata uygun, standart bir şekilde, elektronik ortamda ve hekim tarafından elektronik imzalı olarak düzenlenmesi için Sağlık Bilgi Sistemleri Genel Müdürlüğü tarafından e-Rapor Sistemi geliştirilmiştir. Bu çalışmanın amacı, tek veya daha fazla sayıda hekim tarafından verilen tüm tıbbi raporlarda standardizasyon sağlayan e-Rapor Sistemi'nin geliştirilme süreçlerini tanıtmak, sürece ait bulguları paylaşmak ve bu süreçlerin kullanımına yönelik potansiyel faydaları tartışmaktır. Gereç ve Yöntemler: e-Rapor Sistemi'nde çevik proje metodolojisi kullanılmış olup, sağlık raporlarına özel ayrı bileşenler bulunmaktadır. Sistem, ''.Net'' platformunda C# Programlama dili ile geliştirilmiş ve tüm aşamalarda T.C. Sağlık Bakanlığı personeli görev almıştır. Bulgular: e-Rapor Sistemi için 13 farklı bileşen geliştirilmiştir. Bu bileşenlerden ikisinin sağlık raporu bulunmamaktadır. Ancak Sosyal Güvenlik Kurumu ile yapılan entegrasyon kapsamında 3 adet sağlık raporunun eklenmesiyle e-Rapor Sistem'inde 14 farklı tıbbi rapor türü bulunmaktadır. Sonuç: e-Rapor Sistemi ile doğru ve denetlenebilir veri sayesinde mükerrer kayıtların oluşmasının engellendiği, yöneticilerin karar verme süreçlerinde destek bilgilere erişebildiği, geçmiş yöntemlere kıyasla hızlı, güvenilir ve standardize edilmiş sistem bileşenleriyle zaman ve ekonomik olarak tasarruf edildiği söylenebilir. e-Rapor Sistemi'nin sağlık raporlarının tüm kullanıcılarına fayda sağladığı ön görülmektedir.

Anahtar Kelimeler: Sağlık raporu; e-Devlet; sağlık bilgi sistemleri
ABSTRACT
 Objective: In the digital age we live in, it is known that many corporate transactions that took a long time in the past are now completed in a much shorter time. A health report is a form, a document issued by the authorized physician or physicians, which determines whether the person's physical or mental health is in order. Health reports are prepared to be used in many different areas in our country. Today, in the provision of health services, all health facilities, especially family physicians, record their work and transactions electronically through the Health Information Management System (HIMS). An e-Report System has been developed by the General Directorate of Health Information Systems, in order to prepare health reports prepared in HIMS in accordance with the legislation, in a standard way, in an electronic environment, and with an electronic signature by the physician. The aim of this study is to introduce the development processes of the e-Report System, which provides standardization in all medical reports given by one or more physicians, to share the findings of the process and to discuss the potential benefits for the use of these processes. Material and Methods: Agile project methodology is used in the e-Report system and there are separate components specific to health reports. The system was developed with the C# Programming language on the '.Net' platform and Republic of Türkiye. Ministry of Health personnel took part. Results: 13 different components have been developed for the eReport System. Two of these components do not have a health report. However, with the addition of 3 health reports within the scope of integration with Social Security Institution, there are 14 different types of medical reports in the e-Report System. Conclusion: It can be said that with the e-Report System, accurate and auditable data and duplicate records are prevented, managers can access support information in their decision-making processes, and time and economic savings are saved with fast, reliable and standardized system components compared to previous methods. It has been observed that the e-Report System benefits all users of health reports

Keywords: Health report; e-Government; health information systems
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