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09-Sep-2020
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Arch Hellen Med, 37(Supplement 2), 2020, 221-225 DIALYSIS/TRANSPLANTATION Electronic health services in end-stage renal disease. From Galen to the 20th century S. Paschou,1 G. Spanos,1 S. Fragkidis,1 C. Bantis,1 K. Armentzoiu,1 E. Tsantekidou,1 |
Chronic kidney disease (CKD) is a serious public health issue. According to international data, one out of ten individuals suffers from a degree of chronic kidney injury. Unfortunately, there is no official data in Greece, and this is particularly worrying. It is therefore of paramount importance to move from the traditional way of archiving to the use of electronic health records and online applications. The use of electronic health records (EHRs) for document storage and retrieval is increasing in both developed and developing countries, leading to widespread use of EHRs by nephrologists. Moreover, in the last years, electronic and mobile health (telehealth), defined as the comprehensive use of new technologies in the health sector is rapidly evolving and gives promise to the field of nephrology in order to achieve optimal CKD management. Our hospital's Nephrology Department, in collaboration with the Information Technologies Institute of Centre for Research and Technology, with the support of the Hellenic Society of Nephrology, developed the first national online application of patients dialysed via a tunnelled central venous catheter. In December 2018, the application was notified to all dialysis units in order to register their data and to collect all necessary information for management of the disease. Moreover, the Nephrology Department is the first hospital unit in Greece to design and develop an electronic care system to improve chronic kidney disease patients' healthcare management both at inpatient and outpatient level, called e-NeΦros. These applications promote an electronic collaborative environment allowing direct information exchange among physicians, interconnection with patients and ultimately more efficient management of the healthcare system's resources. In conclusion, in CKD, focus should be placed on electronic healthcare actions and information systems with personalised healthcare services and patients should be actively involved in the management of their disease through the electronic healthcare network.
Key words: Chronic kidney disease, Electronic health, Tunneled central venous catheter.
