Electronic Health Record of the Andalusian Public Healthcare System

<p><em>Andalusian Public Healthcare System (SSPA)</em></p>

<p>In Spain, the competence for healthcare is the responsibility of the regions. The Andalusian Public Healthcare System (SSPA) is an ecosystem of public and universal healthcare provision, which is made up of a series of public agencies, managed by the Government of Andalusia. </p>

<p>The SSPA has a total of 32 hospitals in the region of Andalusia.</p>

<p>Within this ecosystem, the main healthcare provider agency is the Andalusian Health Service.</p>

<p><em><span><span>Andalusian Health Service (SAS)</span></span></em></p>

<p><span><span>The Andalusian Health Service, created in 1986 by <a href="https://www.sspa.juntadeandalucia.es/servicioandaluzdesalud/sites/default/files/sincfiles/wsas-media-sas_normativa_mediafile/2019/d3_0.pdf">Law 8/1986, of May 6, 1986, on the Andalusian Health Service</a>, is attached to the Regional Ministry of Health and Consumer Affairs and performs the functions attributed to it under the supervision and control of the same.</span></span></p>

<p><span><span>Its mission is to provide healthcare to the citizens of Andalusia, offering quality public health services, ensuring accessibility, equity and user satisfaction, seeking efficiency and optimal use of resources.</span></span></p>

<p>The SAS guarantees free public health care to more than 8 million inhabitants, which represents about 17% of the Spanish population. The Andalusian Health Service has 28 hospitals, distributed throughout Andalusia. It is also functionally responsible for the centers belonging to the Public Health Business Agencies and the Aljarafe Public Health Consortium. In addition, there are 14 Health Management Areas.</p>

<p><span><span>The Andalusian Health Service is an administrative agency of those provided for in Article 65 of Law 9/2007, of October 22, is attached to the Ministry of Health and Consumer Affairs, depending specifically on the Vice-Ministry, according to <a href="https://www.sspa.juntadeandalucia.es/servicioandaluzdesalud/el-sas/el-servicio-andaluz-de-salud#:~:text=Decreto%20156/2022%2C%20de%209%20de%20agosto%2C%20por%20el%20que%20se%20establece%20la%20estructura%20org%C3%A1nica%20de%20la%20Consejer%C3%ADa%20de%20Salud%20y%20Consumo%20(315.73%20KB)">Decree 156/2022, of August 9, which establishes the organisational structure of the Ministry of Health and Consumer Affairs</a>. The Andalusian Health Service exercises the functions specified in this Decree, subject to the guidelines and general criteria of health policy in Andalusia and, in particular, the following:</span></span></p>

<p><span><span>- The management of the set of health services in the field of health promotion and protection, disease prevention, healthcare and rehabilitation that corresponds to it in the territory of the Autonomous Community of Andalusia.</span></span></p>

<p><span><span>- The administration and management of the health institutions, centers and services that act under its organic and functional dependence.</span></span></p>

<p><span><span>- The management of the human, material and financial resources assigned to it for the development of its functions.</span></span></p>

<p><em><span><span>Diraya: system used in the Andalusian Health Service to support the Electronic Health Record in Andalusia</span></span></em></p>

<p><span><span><a href="https://www.sspa.juntadeandalucia.es/servicioandaluzdesalud/profesionales/sistemas-de-informacion/diraya">Diraya</a> is the system used in the Andalusian Health Service to support electronic health records. It integrates all the health information of each person treated in the healthcare centers in Andalusia, so that it is available wherever and whenever it is necessary to treat them, and it is also used for the management of the healthcare system.</span></span></p>

<p><span><span>Diraya's conceptual model and technological architecture have aroused significant interest in other healthcare administrations thanks to, among others, cutting-edge services such as the electronic prescription or the centralised appointment system.</span></span></p>

<p><span><span>A description of the Diraya system (objectives, basic components, modules, functional and technological architecture, impact assessment of its implementation, etc.) can be found in the following document: <a href="https://www.sspa.juntadeandalucia.es/servicioandaluzdesalud/profesionales/sistemas-de-informacion/diraya#:~:text=Health%20Care%20Information%20and%20Management%20Integrated%20System.%20(1014.43%20KB)">Health Care Information and Management Integrated System</a>. </span></span></p>

<p><em>安达卢西亚公共卫生体系（SSPA）</em></p>

<p>在西班牙，卫生事务的管辖权属于各个地区。安达卢西亚公共卫生体系（SSPA）是一个由公共和全民医疗保健服务组成的生态系统，该体系由一系列公共机构构成，由安达卢西亚省政府管理。</p>

<p>SSPA在安达卢西亚地区共拥有32家医院。</p>

<p>在此生态系统中，主要的卫生服务提供机构为安达卢西亚卫生服务。</p>

<p><em><span><span>安达卢西亚卫生服务（SAS）</span></span></em></p>

<p><span><span>安达卢西亚卫生服务，于1986年根据《1986年5月6日第8/1986号安达卢西亚卫生服务法》（<a href="https://www.sspa.juntadeandalucia.es/servicioandaluzdesalud/sites/default/files/sincfiles/wsas-media-sas_normativa_mediafile/2019/d3_0.pdf">Law 8/1986, of May 6, 1986, on the Andalusian Health Service</a>）设立，隶属于区域卫生与消费者事务部，并在其监督和控制下履行其职能。</span></span></p>

<p><span><span>其使命是为安达卢西亚公民提供医疗保健，提供高质量的公共健康服务，确保可及性、公平性和用户满意度，追求效率并对资源的最优利用。</span></span></p>

<p>SAS为超过800万居民提供免费公共医疗保健，约占西班牙人口的17%。安达卢西亚卫生服务在安达卢西亚境内拥有28家医院。此外，它还负责管理属于公共卫生业务机构和阿尔哈拉费公共卫生协会的中心。此外，还有14个卫生管理区域。</p>

<p><span><span>安达卢西亚卫生服务是《2007年10月22日第9/2007号法》（<a href="https://www.sspa.juntadeandalucia.es/servicioandaluzdesalud/el-sas/el-servicio-andaluz-de-salud#:~:text=Decreto%20156/2022%2C%20de%209%20de%20agosto%2C%20por%20el%20que%20se%20establece%20la%20estructura%20org%C3%A1nica%20de%20la%20Consejer%C3%ADa%20de%20Salud%20y%20Consumo%20(315.73%20KB)">Decree 156/2022, of August 9, which establishes the organisational structure of the Ministry of Health and Consumer Affairs</a>）第65条所规定的行政机构之一，隶属于卫生与消费者事务部，具体隶属于副部长，根据《2022年8月9日第156/2022号法令》（<a href="https://www.sspa.juntadeandalucia.es/servicioandaluzdesalud/el-sas/el-servicio-andaluz-de-salud#:~:text=Decreto%20156/2022%2C%20de%209%20de%20agosto%2C%20por%20el%20que%20se%20establece%20la%20estructura%20org%C3%A1nica%20de%20la%20Consejer%C3%ADa%20de%20Salud%20y%20Consumo%20(315.73%20KB)">Decree 156/2022</a>）的规定，行使相关职能，受安达卢西亚卫生政策指导原则和一般准则的约束，特别是以下方面：</span></span></p>

<p><span><span>- 管理安达卢西亚自治区领土内属于其管辖的健康促进和保护、疾病预防、医疗保健和康复等健康服务。</span></span></p>

<p><span><span>- 管理其组织上和功能上依赖的卫生机构、中心和服务的行政和管理。</span></span></p>

<p><span><span>- 管理分配给其用于履行职能的人力、物质和金融资源。</span></span></p>

<p><em><span><span>Diraya：用于支持安达卢西亚电子健康记录的系统</span></span></em></p>

<p><span><span><a href="https://www.sspa.juntadeandalucia.es/servicioandaluzdesalud/profesionales/sistemas-de-informacion/diraya">Diraya</a>是安达卢西亚卫生服务中用于支持电子健康记录的系统。它整合了安达卢西亚医疗保健中心中每位接受治疗的个人的所有健康信息，以便在任何需要治疗的地方和时间都能随时可用，并且还用于医疗保健系统的管理。</span></span></p>

<p><span><span>Diraya的概念模型和技术架构因其尖端服务（如电子处方或集中预约系统）而引起了其他卫生行政部门的极大兴趣。</span></span></p>

<p><span><span>有关Diraya系统的描述（目标、基本组件、模块、功能和技术架构、实施影响评估等）可参考以下文档：<a href="https://www.sspa.juntadeandalucia.es/servicioandaluzdesalud/profesionales/sistemas-de-informacion/diraya#:~:text=Health%20Care%20Information%20and%20Management%20Integrated%20System.%20(1014.43%20KB)">Health Care Information and Management Integrated System</a>。</span></span></p>