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eHealth in the Netherlands:The Polder Model
30 november 2010, Medicine 2.0
Pim Ketelaarwww.nveh.nl
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Poldering…
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Reality check
What percentage of Dutch GP’s uses teledermatology?
a) 12%
b) 32%
c) 58%
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Reality check
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The Dutch Association of e-Health
Nederlandse Vereniging voor eHealth (NVEH)The NVEH is:• the leading independent association for e-Health and
telemedicine in the Netherlands. • the Dutch representative in the International Society
for Telemedicine & eHealth (ISfTeH)
The NVEH aims at improving the quality of care by promoting the structural and responsible use of e-Health and telemedicine.
The NVEH organises medical professionals, ICT professionals, researchers, entrepreneurs and policy makers with an interest in improving the quality of the e-Health product in the Netherlands.
www.nveh.nl
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The NetherlandsChallenges…
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Dutch E-Health: an overview (1)
• National EHR in progress…• Telemedicine: many pilots; growing routine• No central co-ordination• Drivers: Patient safety, quality of care, cost control
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Dutch E-Health: an overview (2)
• Teleconsultation: e-Consult with GP in (little) use
• Teledermatology, teleradiology: working practice
• Telemonitoring: promising large scale studies
• E-Mental Health:working and moving
• Elderly care: screen-to-screen care embedded
• Significant research: University of Twente and UMC´s
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Dutch E-Health: an overview (3)
• Federation of Patients and Consumer Organizations of the Netherlands (NPCF): eHealth is needed for more patient empowerment
• Royal Dutch Association of Medicine (KNMG): eHealth driver for quality
• Healthcare insurance companies:Precompetitive cooperation on eHealth needed
• Government:E-Mental Health should be stimulated
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eHealth: Betere Healthcare, jobs and business
European eHealth market 2020:€ 30 miljard
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Dutch E-Health: an overview (4)
Infrastructure (2008):• Broadband penetration (households)
81%• GSM/GPRS coverage (population)
99%• Mobile broadband (UMTS) coverage
95%
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Business opportunities and barriers
Opportunities• Increasing competitiveness (insurance companies, care
providers)• Demand for Quality of Care• Demand for triple A care: Anytime, Anyplace, Anywhere• Empowering of patients / care consumers• Demand for efficiency• World leading infrastructure
Barriers• Still: “perverse incentives”• Cost and revenue sharing models are still experimental• Lack of legal certainty
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Reimbursement rules e-Mental health:
•Face-to-face
•Ear-to-ear
•Bit-to-bit
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