maximising health benefits for citizens healthec.europa.eu/health/archive/ph_overview/health... ·...
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Maximising health benefits for citizens through new technologies
e·Health
Dr Josip Car, PhD MDDirector of eHealth Unit
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Consumers, clinicians & commissioners:
the emerging e·health ecosystem
The power of e·health: web and mesh
Understanding the challenges
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Consumers
Informing
choice
Darzi, 2008
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Consumers
New ways to
engage
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Clinicians with
Consumers
In-clinic
tools
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Clinicians with
consumers
Connected,
efficient care
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Commissioners
Intelligence
Facilitating
decisions
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Emerging
applications
Novel forms of
support
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Emerging
applications
Virtual
engagement
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Emerging
applications
Clinical
education
Patten, 2007
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Web and Mesh
Assist and enhance
• prevention
• diagnosis
• treatment
• monitoring
• quality of life
Hansen, 2008; Eyesenbach, 2008
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Trends in Europe
Baseline study in seven countries reported:
• From 2005-2007, the percentage of the population that had used the
internet to find healthcare-related information grew from 42.3 to 52.2%
• Highest growth in Germany 12.2%, Poland 11.8% and Latvia 11.3%
• Lowest use in Greece 32.1% and Portugal 38.3%
• Highest use in Denmark 71.6% and Norway 66.8%
Europe is....
• Getting ‘greyer’
• Increasingly mobile
• In need of an efficient ‘cross-border’ healthcare system
Kummervold et al., 2008; Wilson et al., 2004
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Potential for improved healthcare provision
• Facilitated, informed decision-making
• Improved healthcare access
• Cost-efficiency
• Health intelligence
• Strategic planning
Wilson et al., 2004
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Challenges for health consumers
• Low health literacy
• Low IT literacy
• Limited access
• Haphazard organisation of information
• Identifying authoritative sources
• Understanding the evolving relationship with clinicians
Car et al., 2008
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Challenges for health providers
• Selecting the right applications
• Exploring efficacy and cost-effectiveness
• Statistical literacy
• Organisational change: inertia and resistance
• Understanding the evolving relationship with consumers
Castells et al., 2007; Aas, 2007
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evidence!
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e·Health is too big to ignore
e·Health is too exciting to disregard
e·Health has penetrated healthcare at all levels and
has been applied to almost every medical specialty
e·Health provides solutions to everyday problems of
patients and clinicians and affects decision-making
e·Health fits well with Europe’s needs for cost-effective
and cross-border healthcare
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questions?
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This paper was produced for a meeting organized by Health & Consumer Protection DG and represents the views of its author on thesubject. These views have not been adopted or in any way approved by the Commission and should not be relied upon as a statement of the Commission's or Health & Consumer Protection DG's views. The European Commission does not guarantee the accuracy of the dataincluded in this paper, nor does it accept responsibility for any use made thereof.