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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)














E. Liikanen Athen 2000


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
  • 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


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...

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



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


Feira Barcelona Brussels

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