Health and information systems: when things work »Enrique Dans

That things work well is not usually news.But I confess that, as a student of the information systems and connoisseur of how they usually work in public management, the health system of the Autonomous Community in which I live, Madrid, surprised me very favorably when the time of the first vaccination againstThe Covid.

In normal circumstances, it does not usually be a user of public health, although in my country it not only has universal coverage, but also its quality is frankly good.I have had a private medical insurance throughout my life, I am very satisfied with its benefits, and I tend to resort to it in all situations, not only for a personal preference, but also because I consider that I will release public resources so that others can use thempeople.

Vaccination, however, is managed in Spain exclusively through the public health system.At the time, I was quite critical of the exclusive public management model of vaccination adopted by Spain against those who, in other countries, allow citizens to receive their vaccine in countless vaccination centers of all kinds in companies, pharmacies, soccer stadiums or wherever a vaccination center is installed.But the truth is that, despite my initial reticence, the experience is being perfect, and the system is even providing the flexibility that is demanded: at the beginning of the course, my university requested the installation of a vaccination point to be able to giveservice to the thousands of students from all countries in the world who arrived at our facilities, and we got it quickly.

The case of my vaccination I remember perfectly: as soon as I received the SMS that warned me of my first vaccine, and I quoted at the hospital closest to my house in a week, I went there, and II found a perfectly prepared infrastructure, professionals who did even waste of good humor and sympathy despite their important workload, and, above all, surprisingly well -managed information systems.I simply appeared with the QR code on my smartphone, they scanned it, they passed me to the vaccination zone, and while I waited for the fifteen minutes of rigor, I already got the SMS that informed me that my vaccination certificate was now available.In practice, it took me less time to receive the link to access the digital certificate than to read the text of the certificate that had been handed to me on paper in the vaccination center itself.I captured the message received to have it easily available, and left the vaccination center with the feeling that my autonomous community had done its duties very well.

That same feeling was repeated with the second dose.The SMS arrived within the expected dead.Again, I captured it, and since it was the one that reflected the complete pattern and the one that presumably would have to use to present it to my company, to travel and for other uses, I decided to carry out an unofficial procedure, but very efficient, but very efficient,To store it on the wallet of my iPhone.I have already tried countless sites in Spain and outside it, and has not given me any kind of problem.

Salud y sistemas de información: cuando las cosas funcionan » Enrique Dans

With the third dose, the so-called Booster, the sensation has been the same again: this time I did not wait to be cited, but I used the self-cite system through the application, which once again, worked perfectly.I self-cited in the vaccination center that offered me an appointment before, at the Nurse Emergency Hospital Isabel Zendal, built in just one hundred days by the Autonomous Community of Madrid in response to the first wave of hospital saturation product of the pandemicIn 2020.

This morning I have approached there, and again: perfect experience.A feeling of absolute normality, of being able to assume that everything was going to work perfectly, and once again, reception of the digital certificate that reflects my triple vaccination pattern while waiting for fifteen minutes after the prick.In fact, on this occasion I tried to request the certificate through the app as soon as I sat down, I found that I was downloading the one that only reflected the first two doses, and I requested that it generate it again through the corresponding button,To find that, automatically, I received the correct one with the three doses a few minutes before the SMS arrived, warning me that I had it available.From the same hospital I did the process again to store it in the Wallet, and I am already prepared for any eventuality.

In practice, we talk only about a few operations in a massive database, with incoming and outgoing connections through computers with scanning terminal that nurses use in the hospital, which can modify the records, and also of theapp that citizens use, which can only consult them.It is a reasonably simple system, I know.And that it works should not be news or even deserve that I consider writing about it ... but it is no longer that it works: it works very well and very fast.In my case, in a reasonably simple scheme: I live in Madrid and I have received all my vaccines in Madrid.But in more complicated cases, such as students or co -workers who have received their vaccines in other countries, they tell me that the system, apparently, has also worked perfectly, and that they have been able to receive their vaccines in Spain when they have needed it withoutThis generates any problem.

I live in a country in which each of its autonomous communities has developed a different information system for its health systems, without a doubt, an error and a frightful and unjustifiable waste of resources.But in the Autonomous Community in which I live, at least, I can say that I have had the opportunity to verify that it not only works, but also do it especially well.Something that, again, should not be news or surprise me.But as I think you have to write about things not only when they fail and generate complaints, but also when they work well, and I am aware that the management of information systems at those levels is not simple, I wanted to leave my satisfaction in writing.


This article is also available in English on my medium page, "When Things Just Work: Madrid’s Covid Vaccination Campaign"