eHealth Marketplace- From point-to-point pilots to a pan-European
eHealth Marketplace
Henning VossDanish Centre for Health Telematics
TTeC12-14 June 2006 Tromsø
Partners
Facts:• Ten partners
• Five countries
• Start: 2004
• End: 2007
• Budget: 2 M€
The idea…
Introduction of eHealth in Rural areas
Better access to specialized healthcare
Less out migration from rural areas
Healthcare and migration?
Healthcare and migration?
49
30
5360
69
33
61
45
0
25
50
75
JOB
EDUCATION
NETWORK
HOUSING
PUBLIC
SERVICE
HEALTH
CARE
NATURE
CULTURE
Factors having great importance for choice of current settlement, % (n=1988)
Rural healthcare under pressure:48
48
46
Av: 39
• Ageing population• Lack of specialists
3 out of 4 doctors position cannot be permanently filled
The idea…
Introduction of eHealth in Rural areas
Better access to specialized healthcare
Less out migration from rural areas
Radiology as a part of a comprehensive telemedicine and eHealth network in Northern Finland, Reponen J., Int J Circumpolar Health., 2004 Dec;63(4):429-35.
Remote working: survey of attitudes to eHealth of doctors and nurses in rural general practices in the United Kingdom. Richards H, King G, Reid M, Selvaraj S, McNicol I, Brebner E, Godden D. Fam Pract. 2005 Feb;22(1):2-7.
Information Technology in the Rural Setting: Challenges and More Challenges. Frisse ME, Metzger J., J Am Med Inform Assoc. 2004 Oct 18;
Information technologies in Florida's rural hospitals: does system affiliation matter? Menachemi N, Burke D, Clawson A, Brooks RG., J Rural Health. 2005 Summer;21(3):263-8.
High-tech rural clinics and hospitals in Japan: a comparison to the Japanese average. Matsumoto M, Okayama M, Inoue K, Kajii E., Aust J Rural Health. 2004 Oct;12(5):215-9.
Cancer information needs in rural areas. Engelman KK, Perpich DL, Peterson SL, Hall MA, Ellerbeck EF, Stanton AL., J Health Commun. 2005 Apr-May;10(3):199-208
Patient safety-related information technology utilization in urban and rural hospitals. Brooks RG, Menachemi N, Burke D, Clawson A. J Med Syst. 2005 Apr;29(2):103-9
The promise of e-health--a Canadian perspective. Alvarez RC., World Hosp Health Serv. 2004;40(4):31-5.
Literature study (subset)
The idea…
Introduction of eHealth in Rural areas
Better access to specialized healthcare
Less out migration from rural areas
Aim: Provide
tools to make use of eHealth
easier
Results
• Tools that facilitate use of eHealth:Cross border eHealth infrastructureGuidelines on how to overcome
barriers for eHealthBest practise examples
Results: eHealth Infrastructure
Norway
Vilnius
Tallinn
SwedenBHN
Denmark???
Results: Guidelines on how to overcome barriers for eHealth
• Legal (finalized)
• Reimbursement (pending)
• Organisational (pending)
• Cultural / linguistic (pending)
=> Contract template…
Results: eUltrasound pilot
• Classical Second opinion approach:
• Mid-wives and doctors in Västerbotten
• The Norwegian Centre for Fetal Medicine
• First step – off-line consultation
• Second step – on-line consultation
Results: eRadiology pilot
• Lack of Radiologists in Funen hospital
Waiting lists and traveling to other hospitals.
• Solution:
• Images are taken in Funen
• Reports are made in Vilnius and Tallinn
• Start with conventional radiology
• Multi-lingual standardized reporting schemes
• Goal: From pilot to production (incl. business model)
Structured Reporting Tool
Interesting finding: Acceptance of cross border remote reporting
A: If I can get a faster treatment in Denmark, it is all right if a doctor in a foreign country does the reading of my X-rays
B: ”I do not feel comfortable with having a doctor in a foreign country read my X-rays”
72 % agreed in statement A => high acceptance(n = 1988, Danish telephone survey, oct. 2005)
Follow up
Today
• Basic infrastructure
• Point-to-point
• Guidelines on paper
• BSR
Future
• eHealth marketplace
• Many-to-many
• Guidelines integrated
• Europe
Thank you for your attention !
Henning Voss ([email protected])
www.Baltic-eHealth.org
Baltic eHealth and eHealth for Regions joint final conference: 21-22 May in Stockholm
Baltic eHealth is co-financed by the BSR Interreg III B programme