Desarrollo de una aplicación web para la gestión de la atención médica a pacientes del Centro Médico de Especialidades la Dolorosa

Abstract

The objective of this work was to develop a web application for the management of medical care for patients at Centro Médico de Especialidades La Dolorosa (CMED). This involved analyzing the appointment scheduling and management processes, medical record management, and certificate issuance, and implementing the required functionalities requested by the professionals of the institution. The development of this application was carried out utilizing the Extreme Programming (XP) methodology and employed Node.js, Express.js, React.js, and PostgreSQL technologies. The evaluation of the performance efficiency quality characteristic was assessed utilizing the ISO/IEC 25010 standard, based on the sub characteristics of temporal behavior and resource utilization, utilizing response time and CPU and RAM utilization as indicators, respectively. We evaluated response times for both manual and automated processes, while resource utilization was assessed utilizing Chrome and Edge browsers. We measured the indicators in the three main processes of medical care management: appointment scheduling, medical consultation recording, and medical certificate issuance. The percentage of improvement in response time was obtained for each of these main processes, which demonstrated a significant improvement in their response times. It was also determined that Edge is the optimal browser for utilizing the application. The study concludes that the level of performance efficiency improvement in the main processes performed by CMED is 61.28% and that CMEDWEB has an efficiency of 71.89%, which is considered good efficiency. It is recommended to have direct interaction with stakeholders of the software product to obtain useful information for implementing the required functionalities.