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Maximising health benefits for citizens through new technologies
e·Health
Dr Josip Car, PhD MDDirector of eHealth Unit
Consumers, clinicians & commissioners:
the emerging e·health ecosystem
The power of e·health: web and mesh
Understanding the challenges
Consumers
Informing
choice
Darzi, 2008
Consumers
New ways to
engage
Clinicians with
Consumers
In-clinic
tools
Clinicians with
consumers
Connected,
efficient care
Commissioners
Intelligence
Facilitating
decisions
Emerging
applications
Novel forms of
support
Emerging
applications
Virtual
engagement
Emerging
applications
Clinical
education
Patten, 2007
Web and Mesh
Assist and enhance
• prevention
• diagnosis
• treatment
• monitoring
• quality of life
Hansen, 2008; Eyesenbach, 2008
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
Potential for improved healthcare provision
• Facilitated, informed decision-making
• Improved healthcare access
• Cost-efficiency
• Health intelligence
• Strategic planning
Wilson et al., 2004
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
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
evidence!
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
questions?
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.
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