The minimum set of data reporting of mental health history.
El conjunto mínimo de datos de los informes de la historia clínica en salud mental
Autor
Villegas-Oliva, Antonia
Pérez-Gálvez, Juan F.
Resumen
The main objective of this study is to announce to the specialized scientific community the modifications introduced by Royal Decree 1093/2011, of 3 September, which approved the minimum set of data of the clinical reports in the National Health System, and how it will affect mental health clinical histories. It has been developed by means of a thorough study of the main psychological and legal variables, reaching the conclusion that coordination and collaboration between the Ministry of Health and Consumption and the health authorities of the autonomous Regions will allow for the implantation of a compatible system of clinical histories that will enable their use by the assistance centers throughout the State. This will avoid duplicities in explorations and procedures which are required for diagnosis and treatment of any mental health patient. El objetivo principal de este trabajo es dar a conocer a la comunidad científica especializada las modificaciones introducidas por el Real Decreto 1093/2010, de 3 de septiembre, por el que se aprueba el conjunto mínimo de datos de los informes clínicos en el Sistema Nacional de Salud, y cómo afectará a la historia clínica en salud mental. Se ha elaborado realizando un estudio minucioso de las principales variables psicológicas y jurídicas, concluyendo que la coordinación y colaboración del Ministerio de Sanidad y Consumo y de las autoridades sanitarias de las Comunidades autónomas, permitirá la implantación de un sistema de compatibilidad para el uso de las historias clínicas, que posibilite su utilización por los centros asistenciales de todo el Estado. De este modo se evitarán duplicidades en las exploraciones y los procedimientos que son necesarios para diagnosticar y tratar a cualquier paciente de salud mental.
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