Review of ehealth programme
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Review of eHealth Programme. Geza Nagy, M.D. (external expert of ESKI eHealth Programme Office). A ntecedent s of the p rogramme: eEurope. 1999-2000 the status of EU in relat ion to USA : rationale – answers An Information Society for all

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Review of ehealth programme

Review of eHealth Programme

Geza Nagy, M.D.

(external expert of ESKI eHealth Programme Office)


A ntecedent s of the p rogramme eeurope

Antecedents of the programme: eEurope

  • 1999-2000 the status of EU in relation to USA: rationale – answers

    An Information Society for all

    Main objectives: faster Internet access for citizens, education, commerce, government


Usage of pcs eu usa

Usage of PCs EU/USA

E. Liikanen Athen 2000


Sz m t g pek haszn lata eu usa

Számítógépek használata EU/USA

Usage of Internet EU/USA

Internet penetration per 100 inhabitants

(Year-end 1999)

Spain

Sweden

UK

Japan

USA

Finland

France

Germany

Italy

Canada

The

Netherlands

4

E. Liikanen Athen 2000


Conclusions

Conclusions

Europe falls behind in both computer and Internet usage

Interesting fact: EU has advantage in mobile network development and mobile phone usagecompared to USA

The solution: eEurope


A ntece n dent s of the programme ehealth

Antecendents of the ProgrammeeHealth

  • Establishment of the 10-point Action Plan for eEurope

  • eHealth is a part of the Action Plan

  • Knowledge-based economy

  • Internet technology: faster, cheaper and safer


A ntece n dent s of p rogramme ehealth

Antecendents of programmeeHealth

  • 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


Ehealth 2000 2002

eHealth 2000 – 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 inHungary :

Best Practice – in the fields of EBM: Handbook of Clinical Evidence and its Web application, end-user education


Progress of ehealth programme

Progress of eHealth 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


Electronic patient card

Electronic 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 inHungary :

„eEurope smart card”- key card/data card alternatives

Application date in Hungary is 2006, led by NHIF


Health information networks

Health 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 networkto spot emerging health threats (see SARS)

Results, projects inHungary :

ANTSZ network Programme finished with EU support

Development of broadband network in health care


Online services

Onlineservices

  • 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


Online services1

Online 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 ofregional model projects with support from EU structural fund


Online services2

Online 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


Health telematics

Health 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


R d framework programmes

R&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


Ministerial conference

Ministerial Conference

  • Brussels, 22 May 2003

  • eHealth „The Contribution of ICT to Health”

  • Exhibition with the introduction ofrealised EU projects

  • Presentations from the industry – participation of leading ICT companies

  • Ministerial Declaration


Declaration main aspects

Declaration- 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


Eeurope 2005 ehealth relation

eEurope 2005 – eHealth relation

  • Modern, on-line public services:

    • e-government

    • e-learning

    • eHealth

  • Dynamic, e-business environment

  • Widespread availability of broadband access at competitive prices

  • Secure information infrastructure


  • Ehealth car e er

    1999-2000

    2000-2002

    2003-2008

    eHealth career

    • It was given an important role in the eEurope idea, in every phase

    Decisions

    FeiraBarcelonaBrussels


    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 ofhealth products


    Health c are delivery is more patient oriented and safe r

    Health care delivery is more patient-oriented and safer

    • 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


    Health related information

    Health-related information

    • Continuous Medical Education (CME)

    • For citizens

      • Retrieval of health and medical information

      • Search of information on the provision of health care


    Trading health products

    Trading Health Products

    • Pharmaceuticals

    • Health care goods

    • Medical devices

      Information materials are increasingly accessible to the public


    Finally what does ehealth mean1

    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


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