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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

3

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