eHealth: Lessons from Europe · eHealth: Lessons from Europe AARP conference, Washington, D.C. 23rd...
Transcript of eHealth: Lessons from Europe · eHealth: Lessons from Europe AARP conference, Washington, D.C. 23rd...
eHealth:
Lessons from Europe
eHealth:
Lessons from Europe
AARP conference, Washington, D.C.23rd March, 2006
John O’Toole, Health John O’Toole, Health CounsellorCounsellor,,
Permanent Representation of Ireland to the Permanent Representation of Ireland to the
EUEU
[email protected]@dfa.ie
European UnionEuropean Union••25 Member States 450m people25 Member States 450m people
• (Bel, CZ, DK, DE, Est, GR, Esp, FR, IE, IT, Cyp, Lat, Lit, Lux, Hun, Mal, NL, Ost, Pol, PT, SI, SK, FIN, SE, UK)
••20 official languages20 official languages
••Health Europe Health Europe -- public sectorpublic sector
••Commission Parliament Commission Parliament Council of MinistersCouncil of Ministers
European Health SystemsEuropean Health SystemsTwo main challenges:Two main challenges:
••Costs: explosion in costs of Costs: explosion in costs of provision provision –– need to find need to find affordable ways to provideaffordable ways to provide
••Viability: sustainability to Viability: sustainability to cope with demographic cope with demographic change, demand crises, & change, demand crises, & growth in expectationsgrowth in expectations
• Cost explosion• Fragmented delivery • Rigid structures • Resource mis-management • Information overload
Well known fact:Well known fact: HHealth challenges
• Ageing population • Unequal access• Patient dis-satisfaction• Unsatisfactory outcomes• Vested interests
Well known fact:Well known fact: HHealth challenges
Less known fact:Less known fact: eeHealth can help to:
•Empower Patients with Information•Reduce Gaps remote/at risk groups•Enable continuity of care •Help information management •Support autonomy & mobility
Less known fact:Less known fact: eeHealth can help to:
• Be cost-effective• Improve productivity• Facilitate exchange of best practice• Improve communication• Facilitate patient mobility
Support reform and organisation:
- Integrated Regional Health Information Network with
- Electronic health records,
-e-prescriptions, e-referrals
- Telemedicine services
Vision:Person-centred health systems
- Information infrastructure for research & clinical care
Empower patientsPersonal health systems (wearable, implantable)
Keep people healthyInformation for disease preventionLifestyle management
Provide tools to health ProfessionalsDecision supportPortable med. imaging
Research areas and achievements to date:
*ACCESS *QUALITY *COST *EQUITY*ACCESS *QUALITY *COST *EQUITY••To strengthen: electronic health records, To strengthen: electronic health records, healthcardshealthcards, telemedicine, medical imaging, , telemedicine, medical imaging, ePrescriptionePrescription
••To stimulate investment & deployment in EU To stimulate investment & deployment in EU
••To accelerate awareness of To accelerate awareness of eHealtheHealth benefitsbenefits
••To provide Health Information Space & To provide Health Information Space & interoperability (by 2008)interoperability (by 2008)
Commission Action Plan 2004Commission Action Plan 2004
Action plan for a EU e-Health AreaAction plan for a EU e-Health Area
3 activities3 activities::
••Addressing common challenges Addressing common challenges
••Pilot action: accelerate actions & Pilot action: accelerate actions & implementationimplementation
••Encouraging good/best practiceEncouraging good/best practice
Tools: EC Tools: EC ProgrammesProgrammes, EC Promotion initiatives, , EC Promotion initiatives, regional funds, national fundsregional funds, national funds
eHealtheHealth 2006 Ministerial Conference, Malaga, 2006 Ministerial Conference, Malaga, Spain, 10Spain, 10--12 May12 May
Action Plan - examplesAction Plan - examples
•• Best practices collection Best practices collection
•• National/regional roadmapsNational/regional roadmaps
•• Common EU patient identifier Common EU patient identifier
•• Interoperability EHR & Interoperability EHR & messagesmessages
•• Boost investmentBoost investment
European Health Insurance European Health Insurance Card Card
Work on multiWork on multi--application single application single smart cards as a secure personal smart cards as a secure personal identification system to access & identification system to access & store medical & health insurance store medical & health insurance datadata
Research activities & Research activities & achievementsachievements
* Personal health support * Personal health support systems for monitoring systems for monitoring
* Assisting in: * Assisting in: -- Prevention Prevention -- Autonomy Autonomy -- Patient educationPatient education-- Lifestyle managementLifestyle management
CustomisedCustomised information & treatmentinformation & treatment
Bringing advances in genomics to health:Bringing advances in genomics to health:
•• Support new imaging technologies Support new imaging technologies
•• Improved understanding of Improved understanding of
health determinants health determinants
•• ModellingModelling and simulation: and simulation:
•Biological processes, diseases•eCell, eOrgan Virtual Human
Future research activitiesFuture research activities
ICT Research
EUROPE: € 80 per capita
U S: €350 per capita
Brakes on eHealth in Europe
• Structural Rigidities• Language/System/Standard• Fragmented Service Markets• National Competitive Tendencies• Inflexible Labour Markets• Heavy Regulation/Red Tape• Lack of Competition
Added Value EU eHealth
• Exchange Best/Good Practice• Ensure Minimum Conditions• Act Regulatory issues together• Data Protection & Privacy• Allows stakeholders joint action
MESSAGE FROM EUROPE
• Does IT Work in Health Sector?
•Yes, it does, but the roll-out is taking place very slowly!
Thank you for your attention!