Dificultades para la aplicación de la historia clínica digital

Abstract

Introduction: The digital medical record (DMR), as an electronic medical record, aims to enhance the efficiency and quality of healthcare by providing quick and secure access to patient information. However, its full adoption faces obstacles ranging from resistance to change to interoperability issues. Objective: To describe the conditions influencing DMR implementation through a literature review of updated scientific articles, highlighting factors hindering successful implementation. Methodology: Information was gathered through a literature review of articles published in the last 5 years, using search engines like EBSCO, Elsevier, PubMed, MedicLatina, MedLine, ScienceDirect, and Scopus, with inclusion criteria focusing on DMR implementation. Development: Digitalization in healthcare has transformed medical practice, introducing tools like DMR, remote patient monitoring, artificial intelligence, and telemedicine. Despite significant progress, DMR implementation encounters diverse obstacles due to complicating conditions. Conclusions: Effective DMR implementation goes beyond technical aspects, emphasizing resistance to change, interoperability, staff training, and data security as crucial determinants of success. DMR is not just technology; it signifies a cultural shift in healthcare. The interdependence of these challenges underscores the need for coordinated strategies to address systemic complexity.