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Innovative Interventions in Cross-Border Public
Health Centers Project Development and Future
Perspectives
Professor John Kyriopoulos MD, MPH, MSc,
PhD Department of Health Economics National
School of Public Health Economics
National School of Public Health
Co-financed by the European Regional Development
Fund of the Social Fund of the European Union 75
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The Cross-border Public Health Centers (CBPHCs)
in the Prefectures of Kilkis, Drama and Xanthi
have been established within the framework of the
INTERREG IIIA Programme with major aim the
achievement of sustainable development and
European integration. Specifically, the project
Establishment of the Kilkis Cross-border Public
Health Centre belongs to the INTERREG III/
Neighbouring Programme Greece-FYROM, Measure 3.2
(Protection of Public Health). The projects
Establishment of the Drama Cross-border Public
Health Centre and Establishment of the Xanthi
Cros-border Public Health Centre are part of the
Community Initiative INTERREG III/
Greece-Bulgaria Measure 3.1 (Improvement of
quality of life).
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The projects Establishment of Cross-border
Public Health Centers have been developed and
co-financed by 75 by the European Regional
Development Fund of the European Social Fund of
the European Union 75 (ERDF) and by 25 by the
Greek State. The Kilkis, Drama and Xanthi CBPHC
projects have been successfully completed at the
end of 2008.
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• The selected prefectures for establishing the
  CBPHCs have been
• for Greece
• Kilkis and Pella (Central Macedonia)
• Drama (Eastern Macedonia)
• Xanthi (Thrace)
• for Bulgaria
• Smolyan
• Blagoevgard
• Note FYROM has also selected Gevgeli, Star
  Dorian and Bogoritsa.

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The main target of CBPHCs project is to improve
the quality of life of the population by
developing the collaboration and promotion of
common strategies among the border health
authorities of neighbouring countries.
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The major goals of the CBPHCs projects being
achieved

• Facilitation of cross-border mobility of
  population, goods and livestock
• Scientific study and implementation of solutions
  for environmental issues, such as water air and
  soil pollution
• Development of joint strategies for the
  prevention and control of health risks
• Improvement of cross-border health services
  infrastructure
• Improvement of information in order to motivate
  citizens to use local health services
• Enhancement of a cross-border collaboration for
  the effective promotion of public health

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The CBPHCs project has implemented several
actions and sub-projects, such as

• Expansion and renovation of the existing
  facilities
• Hotel equipment supply
• Office equipment supply
• Signposting supply
• Laboratory medical equipment supply
• Other equipment supply

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• Vehicle supply
• Hardware supply
• Scientific Support
• Publicity Project
• Publications, Research studies and Leaflet
  Production

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The presentation focuses on the development of
Information Technology Systems, Software
development and supply within the structure of
the CBPHCs project.
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The actions taken have included

• Infokiosk supply
• Network Portal
• Geographical System Information (G.I.S.)
• Healthmeter- Development of Medical
  Questionnaire System
• Electronic Patient Record

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Main goals of the innovative interventions are

• to facilitate the work of health professionals
• to highlight the priorities in health policy
• to supply useful tools for the patient
  management
• to inform the citizens about available
  treatments and issues regarding health promotion

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Infokiosk Several Infokiosks have been set up
at central points in the Prefectures of Kilkis,
Drama and Xanthi, as well as in Athens and are
accessible by all citizens. The Infokiosks are
user friendly (touch screen) and much easier than
a bank ATM.
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• The information up-to-date and scientifically
  accurate, has been divided in
• Health Issues
• Health services

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• The information distributed through Infokiosk
  contributes to
• Protection from diseases and several health
  risks
• Health promotion
• Improvement of the general health status by
  adopting healthy practices in life style.

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Network Portal The portal www.dikedy.gr
performs as an important information,
communication and scientific cooperation data
base on health issues and health services.
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Also the Network Portal provides information on

• Introduction, development and outcomes of the
  CBPHCs project
• Activities related to the CBPHCs project
• Newsletters
• E-forum
• Professionals involved in CBPHCs project
• Scientific Publications
• Research Studies
• Leaflets
• Electronic Patient Record (in Greek)

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Geographical Information System
(G.I.S) Formulation and motivation of joint
strategies for the improvement of health services
and the health status, through the development
and implementation of the Geographical
Information System (G.I.S).
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The G.I.S. collects and records data about

• Current health services situation
• Health status of the population
• Major risk factors
• Formulation of policies, methods and
  priorities for the improvement of the
  quality of health services

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Additionally, G.I.S. provides information on

• Demographic data
• Epidemiological data (morbidity, mortality)
• Health Services and distribution
• Health status (self-defined)
• Service utilization
• Provider choice
• Responsiveness of local health services

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Healthmeter Development of Medical Questionnaire
System The Healthmeter implemented in the CBPHC
of the Prefecture of Drama (Kato Nevrokopi Health
Center) includes an electronic questionnaire, in
which the personal health status of the user is
portrayed by answering to simple and daily
questions. The questions, though simple, are
based on current scientific information on health
promotion with respect to users
health. Moreover, the aim of the Healthmeter is
to raise awareness and to educate the users to
care more for personal health matters.
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The use of Healthmeter aims

• To highlight the most significant health problems
  and to illustrate the physical and mental
  situation of the population.
• To form a brief but, also, clear representation,
  which aims to the improvement of the health
  status and health promotion.
• To detect public health problems.

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Electronic Patient Record The Electronic Patient
Record is implemented in the CBPHC of the
Prefecture of Xanthi and is in used by authorized
health professionals of the Echinos Health
Center. It is a data base used in combination
with information gathered from the Internet in
order to facilitate decision making within the
principle of evidence-based medicine.
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The Electronic Patient Record contains

• Personal data
• Medical history
• Vaccinations
• Visits
• Diagnoses
• Prescriptions

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Future Perspectives of the innovative
interventions of the CBPHCs project

• Continuous improvement of the IT System
  implemented in CBPHCs project
• Expansion of the existing network and know-how
  exchange to the CBPHCs of Prefectures of Serres,
  Evros, Florina and Ioannina, which were
  established within the framework of the programme
  INTERREG II, 4 Cross-border Public Health Centres
• Strengthening of the cross-border collaboration
  among the neighbouring countries of the Balkan
  Peninsula
• Persistence on improving the health status and
  the quality of life of the population of the
  border regions through the expansion of
  information and education regarding health
  issues.

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Thank you for your attention!