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eHealth/mHealth policy issues

eHealth/mHealth policy issues. Karl Brown Rockefeller Foundation October 28, 2009. eHealth vs. mHealth vs. HIS. mHealth. Q1: Do we need an mHealth policy separate from an eHealth policy?. eHealth Policy Research and advocacy – some recent examples.

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eHealth/mHealth policy issues

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  1. eHealth/mHealth policy issues Karl Brown Rockefeller Foundation October 28, 2009

  2. eHealth vs. mHealth vs. HIS mHealth Q1: Do we need an mHealth policy separate from an eHealth policy?

  3. eHealth Policy Research and advocacy – some recent examples • World Health Assembly – declarations on eHealth • “Making the eHealth connection” – Bellagio, Italy, July 2008: Week 4 focused on eHealth policy, produces call to action • Kigali Forum on eHealth procurement and licensing (October 19-21, 2009): Kigali declaration • ITU Telecom World 2009; production of “Implementing e-Health in Developing Countries”

  4. What is eHealth policy made of? Thematic areas identified through literature search and at Bellagio meeting: • Architecture: Data stewardship; Interoperability. • Finance: Business models and incentives; eHealth as part of a national budget process • Infrastructure: First mile/last mile, reaching the user; Impact of eHealth on other infrastructure • Awareness: Informing policy by expanding beyond the usual constituents; Proving value • Equity: Equitable access to eHealth services; Donor alignment – issues, funding, requirements of RFPs • Human Capacity: HHR planning – targets, skill sets; eLearning as a tool • Legal: Global eHealth convention; Regulatory environment for eHealth • Organizational: Organizational eHealth readiness; Enabling integration Everyone approaches these in a different order, with a different set of priorities – is this a good thing?

  5. What eHealth policies exist? • Most european countries have an eHealth policy; these are now being integrated into i2010, an EU initiative for the information society • However, approaches amongst countries today differ widely, including which ministries are considered the main policy-makers • Many emerging economies have developed eHealth policies • Wide range of differences in the integration of ehealth to wider ICT or Health policy and reform • Mhealth adds a new wrinkle – need for more engagement and collaboration with operators, and turf issues for standards definitions • Research indicates that inter-jurisdictional approaches are uncommon as compared to macro-policy approaches at a national level Scope of Policy Issues for eHealth: Results from a Structured Review; ShariqKhoja, PH.D, HammadDurrani, AmmadFahim , available at eHealth-connection.org eHealth Policy – The Road to the New Digital Divide? Maurice Mars

  6. Next steps • Need to ensure policy promotes vs stifles innovation • Example: setting standards in stone too early may limit innovation • Question: how do we link national policy efforts to international ones (including non-eHealth specific international movements like Millennium Goals, IHR (International Health Regulations), etc)?

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