ARGOS policy brief on semantic interoperability

Semantic interoperability requires the use of standards, not only for Electronic Health Record (EHR) data to be transferred and structurally mapped into a receiving repository, but also for the clinical content of the EHR to be interpreted in conformity with the original meanings intended by its authors. Accurate and complete clinical documentation, faithful to the patient’s situation, and interoperability between systems, require widespread and dependable access to published and maintained collections of coherent and quality-assured semantic resources, including models such as archetypes and templates that would (1) provide clinical context, (2) be mapped to interoperability standards for EHR data, (3) be linked to well specified, multi-lingual terminology value sets, and (4) be derived from high quality ontologies. Wide-scale engagement with professional bodies, globally, is needed to develop these clinical information standards

eHealth in internationaler Perspektive: Beiträge der eHealth Conference 2007 "From Strategies to Applications"

Mit eHealth wird der integrierte Einsatz von Informations- und Kommunikationstechnologien (IKT) im Gesundheitswesen bezeichnet. eHealth-Entwicklung und -Anwendungen sind an der Schnittstelle von Gesundheitsreformpolitik, Wissenschaft, Versorgungspraxis zu situieren, und sie sind nicht zuletzt ein bedeutsamer Faktor in einer wachsenden Gesundheits- und Informationswirtschaft. Ein wichtiger Aspekt ist hierbei die Gesundheitsversorgung mobiler Bürger; IKT-Unterstützung und -Vernetzung im Gesundheitsbereich müssen deshalb auch grenzüberschreitend funktionieren. Wichtige Voraussetzung hierfür ist es, Interoperabilitäts- und Standardisierungsfragen kontinuierlich abzustimmen und zu beraten. Hierfür bieten die eHealth-Konferenzen seit Jahren ein international anerkanntes Forum. Die Publikation bündelt drei Beiträge der diesjährigen eHealth Conference, die vom 17. bis 19. April 2007 im assoziierten Programm der deutschen EU-Ratspräsidentschaft unter dem Titel 'eHealth - from Strategies to Applications' stattgefunden hat. Neben dem Bundesministerium für Gesundheit (BMG), der Europäischen Kommission, dem gastgebenden Land Berlin, der Gesellschaft für Versicherungswissenschaft und -gestaltung (GVG), den federführenden Spitzenorganisationen von Kostenträger- und Leistungserbringerseite und der Betriebsorganisation gematik trugen zahlreiche Organisationen aus Wissenschaft und Industrie diesen Kongress mit. Der Vorabdruck im Rahmen des soFid Gesundheitsforschung präsentiert zwei Konferenzbeiträge mit übergreifender Perspektive: Martine Durand (OECD) betont in ihrem Statement die Verantwortung der Politik zur Steuerung und Gestaltung bei der Implementierung von eHealth. Im Mittelpunkt des Beitrags von Dr. Misha Kay (WHO) stehen das Global Observatory for eHealth und das dreischichtige eHealth-Entwicklungsmodell. Als dritten Text wird die im Rahmen der Konferenz verabschiedete Deklaration 'eHealth in Europe: succeeding together. European Co-operation on Europe-wide Electronic Health Services' dokumentiert, mit der die Mitgliedsländer und die EU-Kommission ihre Zusammenarbeit auf dem Gebiet der europaweiten elektronischen Gesundheitsdienste bekräftigen. (ze

Alcuni abstract di articoli che trattano argomenti relativi all'eHealth

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Co-innovation: the future of telemedicine in developing countries

Telemedicine which has been widely adopted in developed countries to reach all its citizens irrespective of their location is only being used for education purposes or disaster relief in developing countries. Since developing countries already suffer inadequate healthcare provision especially in remote areas, it would be essential to implement telemedicine practices for daily clinical uses rather than education use. This research argues that to understand the future of telemedicine in developing countries, both well-established technology innovations adoption factors as well as co-innovation factors should be addressed. In the context of healthcare provision, we propose a conceptual framework that integrates the healthcare resources and the organisational affiliations in co-innovation

A feasibility study for the provision of electronic healthcare tools and services in areas of Greece, Cyprus and Italy

Background: Through this paper, we present the initial steps for the creation of an integrated platform for the provision of a series of eHealth tools and services to both citizens and travelers in isolated areas of thesoutheast Mediterranean, and on board ships travelling across it. The platform was created through an INTERREG IIIB ARCHIMED project called INTERMED. Methods: The support of primary healthcare, home care and the continuous education of physicians are the three major issues that the proposed platform is trying to facilitate. The proposed system is based on state-of-the-art telemedicine systems and is able to provide the following healthcare services: i) Telecollaboration and teleconsultation services between remotely located healthcare providers, ii) telemedicine services in emergencies, iii) home telecare services for "at risk" citizens such as the elderly and patients with chronic diseases, and iv) eLearning services for the continuous training through seminars of both healthcare personnel (physicians, nurses etc) and persons supporting "at risk" citizens. These systems support data transmission over simple phone lines, internet connections, integrated services digital network/digital subscriber lines, satellite links, mobile networks (GPRS/3G), and wireless local area networks. The data corresponds, among others, to voice, vital biosignals, still medical images, video, and data used by eLearning applications. The proposed platform comprises several systems, each supporting different services. These were integrated using a common data storage and exchange scheme in order to achieve system interoperability in terms of software, language and national characteristics. Results: The platform has been installed and evaluated in different rural and urban sites in Greece, Cyprus and Italy. The evaluation was mainly related to technical issues and user satisfaction. The selected sites are, among others, rural health centers, ambulances, homes of "at-risk" citizens, and a ferry. Conclusions: The results proved the functionality and utilization of the platform in various rural places in Greece, Cyprus and Italy. However, further actions are needed to enable the local healthcare systems and the different population groups to be familiarized with, and use in their everyday lives, mature technological solutions for the provision of healthcare services

Technology adoption in health care: International barriers and opportunities to telemedicine

Although telemedicine and telehealth are seen as discrete entities by some authors, both The Cochrane Library (2010) and the WHO (2009) acknowledge that definitions overlap. The broad and encompassing definition underpinning the WHO (2009) report states that telemedicine is: The delivery of health care services, where distance is a critical factor, by all health care professionals using information and communication technologies for the exchange of valid information for diagnosis, treatment and prevention of disease and injuries, research and evaluation, and for the continuing education of health care providers, all in the interests of advancing the health of individuals and their communitie

Women and eHealth 2010 – 2015: From the Study to the Women Observatory for eHealth

Improving access to information and communication technologies (ICT) and making these services affordable to all are prerequisites to their efficient and sustainable use in healthcare and eHealth. Women worldwide still face barriers that keep them away from innovation and limit their taking full advantage of eHealth and telemedicine. To help address these barriers, Millennia2015, an initiative of the Destree Institute, conducted the Women and eHealth Study 2010 – 2012 (WeHealth) to identify barriers and trends in the emerging arena of Women, Health and ICT. The study proposed a set of solutions to the identified barriers, including a mapping of Women’s involvement in eHealth. Forging ahead on the Study's proposals, the new Millennia2025 Foundation “Women and Innovation”, a Public Utility Foundation, and its partners, have developed Action Plans to ensure the full participation of women in eHealth and telemedicine. These Plans include diverse initiatives, such as the WeObservatory, which provides support to 15 WeHealth projects in 11 countries, WeTelemed, WeBlog, WeMOOCs, WePatients, WeLibrary, and two mobile multilingual applications: UniversalNurses and UniversalWomen, available in six languages. Improving the role of women in eHealth requires commitment and effort, and the Millennia2025 Foundation is committed to accelerating women's access to innovation and technologies for health around the world.

Online Consultation: ICTs and Development

As part of a series of global dialogues, in September 2011 IDS Knowledge Services brought together and facilitated an online community to discuss the relationship between living well and ICTs. The online forum was held over three days, 27 -- 29 September. It was hosted on the Eldis Communities platform and was facilitated by Abigail Murphy and Kelly Shephard. Technical support was provided by Adrian Bannister, Knowledge Services, IDS. The objective of the forum was to bring together a wide range of voices that would help to shape the Bellagio Summit in November.This document reflects on the approach taken and summarises the views expressed

eHealth: legal, ethical and governance challenges: an overview.

eHealth is moving steadily towards greater deployment and implementation worldwide. Some of its greatest challenges lie in the three fields of law, ethics, and governance. This paper outlines a number of key issues due to be highlighted by contributors to a 2011 book. While the book focuses on the European scene, it is set in the international context