Review of eHealth Programme

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Review of eHealth Programme

• Geza Nagy, M.D.
• (external expert of ESKI eHealth Programme
  Office)

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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

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Usage of PCs EU/USA
E. Liikanen Athen 2000
4
Számítógépek használata EU/USA
Usage of Internet EU/USA
Internet penetration per 100 inhabitants (Year-end
1999)
Japan
Sweden
UK
Spain
USA
Finland
France
Germany
Italy
Canada
The Netherlands
4
E. Liikanen Athen 2000
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Conclusions

• 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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Antecendents of the Programme eHealth

• 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

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Antecendents of programme eHealth

• 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 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 in Hungary
Best Practice in the fields of EBM Handbook of
Clinical Evidence and its Web application,
end-user education
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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
• RD frameworks

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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 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 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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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

Task
Application of Quality Criteria for Health
Related Websites in Hungary
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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 of regional model projects with
  support from EU structural fund

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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

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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/Docum
ents/hlch_health_telematics_final_report_en.pdf
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RD 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 RD
  results and utilisation

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Ministerial 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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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
• RD support growing up to 3 of GDP
• Second eHealth Conference 2004, Ireland

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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

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eHealth career

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

Decisions
Feira Barcelona Brussels
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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 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

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Health-related 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 Products

• Pharmaceuticals
• Health care goods
• Medical devices
• Information materials are increasingly accessible
  to the public

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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