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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 Geza Nagy, M.D. (external expert of ESKI eHealth Programme Office)
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 E. Liikanen Athen 2000
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 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
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
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 • 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 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 • 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 • 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
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 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 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 • 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 • 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 • 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 • 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 • 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
1999-2000 2000-2002 2003-2008 eHealth career • It was given an important role in the eEurope idea, in every phase Decisions Feira Barcelona Brussels
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 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 • Continuous Medical Education (CME) • For citizens • Retrieval of health and medical information • Search of information on the provision of health care
Trading Health Products • Pharmaceuticals • Health care goods • Medical devices Information materials are increasingly accessible to the public
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