1 Review of eHealth Review of eHealth Programme Programme Geza Nagy, M.D. (external expert of ESKI eHealth Programme Office)
Mar 29, 2015
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Review of eHealth ProgrammeReview of eHealth Programme
Geza Nagy, M.D.
(external expert of ESKI eHealth Programme Office)
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AAntecedentntecedentss of of the pthe programme: rogramme: eEuropeeEurope
1999-2000 the status of EU in relation to USA: rationale – answers
An Information Society for allMain objectives: faster Internet access
for citizens, education, commerce, government
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0
10
20
30
40
50
60
70
B DK D EL E F IRL I L NL A P FIN S UK USA
Usage of PCs EU/USAUsage of PCs EU/USA
E. Liikanen Athen 2000
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Számítógépek használata EU/USASzámítógépek használata EU/USA
E. Liikanen Athen 2000
Usage of Internet EU/USA
0
5
10
15
20
25
30
35
40
45
Internet penetration per 100 inhabitants(Year-end 1999)
Fin
lan
d
4
Fra
nce
Ger
man
y
Ital
y
Jap
an
Sw
eden
Th
e N
eth
erla
nd
s
UK
Sp
ain
Can
ada
US
A
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ConclusionsConclusions
Europe falls behind in both computer and Internet usage
Interesting fact: EU has advantage in mobile network development and mobile phone usage compared to USA
The solution: eEurope
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AAntecentecenndentdentss of of the the Programme Programme eHealtheHealth
Establishment of the 10-point Action Plan for eEurope
eHealth is a part of the Action PlanKnowledge-based economyInternet technology: faster, cheaper
and safer
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AAntecentecenndentdentss of of p programmerogramme eHealtheHealth
eHealth: close collaboration between DG Health and Consumer Protection and DG Information Society
The EU accepted the Action Plan in Feira (Portugal) in June 2000
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eHealth eHealth 2000 – 20022000 – 2002
Ensuring that primary and secondary healthcare providers have health telematics infrastructure in place including regional networks
Best practice in electronic health services in EU Establishment of a set of quality criteria for
health-related websites Establishment of health technology and data
assessment networks Dissemination of the legal aspects of eHealth
Results, projects in Hungary :
Best Practice – in the fields of EBM: Handbook of Clinical Evidence and its Web application, end-user education
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ProgressProgress of of eHealtheHealth Programme Programme
2002 Seville Spain: Action Plan to 2005 based on modern, online public services
Targets of Action Plan:• Electronic Health Cards• Health Information Networks• Online services• Health Telematics• R&D frameworks
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Electronic Patient CardElectronic Patient Card
Common approach to patient identifiers and electronic health record architecture, creation of a European electronic health card
Allowing access to medical emergency data and secure access to personal health information
General usage in 2008 – the E 111 form is suitable for emergency treatment in EU member states till 2008
Results, projects in Hungary :
„eEurope smart card”- key card/data card alternatives
Application date in Hungary is 2006, led by NHIF
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Health Information NetworksHealth Information Networks
Citizens can access online health services (information on healthy living and disease prevention, electronic health records, teleconsultation, hospital-doctor-patient networks, etc.) via broadband connectivity by the end of 2005
Europe-wide health information network to spot emerging health threats (see SARS)
Results, projects in Hungary :
ANTSZ network Programme finished with EU support
Development of broadband network in health care
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OnlineOnline servicesservices
By the end of 2005 Information resources for citizens
– Healthy living– Disease prevention– Electronic health record– Teleconsultation– Preventive information, e.g. air and water quality
information
Task:
Application of Quality Criteria for Health Related Websites in Hungary
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Online servicesOnline services
Hungarian projects, developments DR.INFO telephone health consulting
service – 1st phase DR.INFO health-related web portal – 2nd
phase Establishment of public health portal Development of regional model projects
with support from EU structural fund
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Online servicesOnline services
Introductions of categories, standards, applications: ePrescription, eRecord, eConsultation, etc.
Introductions of categories, standards, applications - CEN TC 251 naturalisations
Digital signature in health-related applications Work is coordinated and led by the eHealth
Programme Office – chance for harmonisation
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Health TelematicsHealth Telematics
The Working Group on Health Telematics has been asked the following tasks:
• Review the application of Information and Communication Technology in the health sector
• Consider particular applications of ICT in health namely health cards, virtual hospital
• Provide for the dissemination of health-related information to health professionals and patients
Further information...
http://europa.eu.int/comm/health/ph_overview/Documents/hlch_health_telematics_final_report_en.pdf
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R&D Framework ProgrammesR&D Framework Programmes
Many of the projects are supported by DG Information Society under the EU Research Framework Programme
The basic principle is the utilisation of results
Neumann Colloquium 2003, Veszprém – Hungarian R&D results and utilisation
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Ministerial ConferenceMinisterial Conference
Brussels, 22 May 2003 eHealth „The Contribution of ICT to
Health” Exhibition with the introduction of realised
EU projects Presentations from the industry –
participation of leading ICT companies Ministerial Declaration
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DeclarationDeclaration - Main Aspects- Main Aspects
Promoting quality and enhancing efficiency in health care through eHealth applications
Facilitating citizen involvement through access to high quality information
Implementing and sharing best practices in eHealth
Looking to the future• Full exploitation of eHealth goes beyond local information systems
and Internet based provision of information to integrate• eEurope action plan 2005 coordination with eHealth• Continuous development, implementation• R&D support growing up to 3% of GDP• Second eHealth Conference 2004, Ireland
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eEurope 2005 – eHealth relationeEurope 2005 – eHealth relation
Modern, on-line public services:• e-government• e-learning• eHealth
Dynamic, e-business environmentWidespread availability of broadband
access at competitive pricesSecure information infrastructure
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eHealth careHealth careeerer
It was given an important role in the eEurope idea, in every phase
Decisions
Feira Barcelona Brussels
1999-20001999-2000
2000-20022000-2002
2003-20082003-2008
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Finally what does eHealth mean?Finally what does eHealth mean?
The application of ICT across the whole range of functions which, one way or another, affect the health of citizens and patients:– Health care provision is more patient-
oriented– Health-related information– Information related to trading of health
products
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Health Health ccareare delivery delivery is more patient is more patient--oriented and safeoriented and saferr
A number of ICT technologies exist– In the hospitals
• Complete HIS
– Primary care• In everyday routine for patient management, medical
records and electronic prescribing
– Home care• Telecommunication with providers, teleconsultation
with professionals
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HealthHealth--related informationrelated information
Continuous Medical Education (CME)For citizens
– Retrieval of health and medical information
– Search of information on the provision of health care
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Trading Health ProductsTrading Health Products
PharmaceuticalsHealth care goodsMedical devices
Information materials are increasingly accessible to the public
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Finally what does eHealth mean?Finally what does eHealth mean?
ICT in professional point of view:Management of information and information flow in
the whole process of care The central component of eHealth is the EHR –
(electronic health record) that allows the sharing of medical records between care providers and patients, in any application
The applications: patient self-management, telemedicine, electronic messaging, electronic registries and databases, regional and national networks – all taking place on the Internet