A composite index for the benchmarking of eHealth Deployment in European acute Hospitals. Distilling reality in manageable form for evidence based policy

This report presents the results of the multivariate statistical analysis performed by the authors on the data from the eHealth benchmarking Phase III survey. This survey, funded and managed by Unit C4 of DG INFSO, gathered data from a statistically representative sample of European acute hospitals in order to benchmark their level of eHealth deployment. The authors, after placing it within the appropriate policy context an within the broader academic debate on benchmarking in a policy perspective as part of the Open Method of Coordination, have rigorously and transparently constructed a composite index of Hospitals eHealth Deployment. They have also extensively discussed the results of the analysis and extracted implications and recommendations both for the benchmarking and evaluation agenda and for the broader policy agenda in this field. The topic covered falls within the scope of research activities carried out during the past three years by IPTS Information Society Unit in the specific domain of eHealth, both for what concerns its development and innovation dynamics and for what relates to benchmarking and evaluation. The Techno-economic Impact Enabling Societal Change (TIESC) Action of IPTS IS Unit, in fact, manages since 2009 the three-year project Strategic Intelligence Monitor for Personal Health Systems (SIMPHS) and focuses also on issues of measurement and evaluation . As mentioned, the survey producing the data analysed in this report has been funded and managed by DG INFSO Unit C4. The authors, in representation of IPTS, were part of the steering board of this project and were given the opportunity to access and use the data as soon as they were ready. We want, thus, to thank the Head of Unit C4 Lucilla Sioli for providing us such opportunity, the study Project Officer Virginia Braunstein for the support and collaboration during the realisation of this report, and Stefano Abbruzini (also from Unit C4) for useful comments provided on an earlier draft of this report. We also want to thank Maria Del Mar Negreiro Achiaga, Project Manager of the Deloitte/Ipsos consortium that realised the survey, for her collaboration and availability.JRC.DDG.J.4-Information Societ

Assessing the Impact of Integrated Personal Health and Care Services: the Need for Modelling

In Europe Public expenditure for healthcare and Long-Term Care (LTC) currently absorbs 6.8% of GDP and without innovative cost containment measures could almost double by 2050 and reach 12.8% of GDP due to several socio-economic and cultural trends. This challenge can be turned into an opportunity for inclusive innovation and growth if the potential of ICT would be fully exploited to deliver personal health and social care services to prevent and manage chronic diseases (i.e. remote monitoring and treatment) or to ensure a dignified and independent living at home for the elderly (i.e. Ambient Assisted Living, AAL). This potential is fully recognised in both the EU2020 Strategy and in the new Digital Agenda for Europe, and one of the first European Innovation Partnership in 2011 will focus on Health and Ageing and related services. This favourable context, however, suffers from a scientific gap with important strategic implications for policy making: there exists currently no micro or macro economic empirical or modelling analysis that would enable policy makers to either demonstrate ex post the impact of Health&Care services or to simulate ex ante their potential impacts. Lacking this support it is at times difficult to win traditional resistance to innovation and push full adoption of such services in Europe. This research explored the availability of tools and methods, both for macro- and micro- modelling tools and processes, assessed their implications, challenges and opportunities and reports on its findings. The paper concludes by laying the foundations for proposing a new research plan that would aim at filling the scientific and policy relevant gap by proposing a hands-on modelling exercise to study the impacts in one country for on chronic disease.JRC.DDG.J.4-Information Societ

Pan-European Survey of Practices, Attitudes and Policy Preferences as regards Personal Identity Data Management

This Report presents the results of the largest survey ever conducted in Europe and elsewhere about people's behaviours, attitudes and regulatory preferences concerning data protection, privacy and electronic identity, both on the Internet and otherwise in their daily lives. It finds that personal data disclosure is increasingly prevalent in the European society, largely due to the expansion of the Information Society. In turn, most services provided in the digital economy rest on the assumption that this data and associated electronic identities are collected used and disposed of according to existing legislation. The survey shows very clearly how Digital Europe is shaping up. About two thirds of EU27 citizens use the Internet frequently, more than one third uses Social Networking Sites (SNS) to keep in touch with friends and business partners and almost 4 out of 10 shop online. In both of these contexts, people disclose vast amounts of personal information, and also manage a large and growing number of electronic identities. However, there are equally significant differences among Member States and considerable digital exclusion, mainly due to socio-demographic differences in affluence, education and age. These are some of the insights of the Eurobarometer Survey on Data Protection and Electronic Identity conducted in December 2010. The results were published in June 2011. The report builds on the top line results presented in the EB-359 report and analyses in depth the information collected so as to draw conclusions in direct relation to four key Digital Agenda areas: e-Commerce, Social Networking Sites, Authentication and Identification and Medical Information as Personal Data.JRC.J.3-Information Societ

The reference site collaborative network of the european innovation partnership on active and healthy ageing

Seventy four Reference Sites of the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA) have been recognised by the European Commission in 2016 for their commitment to excellence in investing and scaling up innovative solutions for active and healthy ageing. The Reference Site Collaborative Network (RSCN) brings together the EIP on AHA Reference Sites awarded by the European Commission, and Candidate Reference Sites into a single forum. The overarching goals are to promote cooperation, share and transfer good practice and solutions in the development and scaling up of health and care strategies, policies and service delivery models, while at the same time supporting the action groups in their work. The RSCN aspires to be recognized by the EU Commission as the principal forum and authority representing all EIP on AHA Reference Sites. The RSCN will contribute to achieve the goals of the EIP on AHA by improving health and care outcomes for citizens across Europe, and the development of sustainable economic growth and the creation of jobs

Strategic Intelligence Monitor on Personal Health Systems Phase 3 (SIMPHS3) - SAM:BO (Denmark) Case Study Report

The SAM:BO case rests on an agreement that sets out guidelines concerning cooperation and communication among health care actors, together with principles on how to monitor the quality of the service provided and to support health care management processes by electronic communications. It represents a joint strategy applied by 4 hospital units, 22 municipalities and about 800 practitioners operating in the Region of Southern Denmark. SAM:BO is a formal framework of cooperation which aims to support treatment and intersectoral cooperation. It facilitates the exchange of experiences and guideline development, supports national coordination and the development of new national projects (e.g. the shared medical record, the Shared Care System), and promotes standards of IT communication.JRC.J.3-Information Societ

Strategic Intelligence Monitor on Personal Health Systems, Phase 2. Country Study: Spain

This study presents and discusses the status for integrated personal health systems (IPHS) in Spain. It aims to illustrate through case studies the patient and health monitoring systems that are available, the level of implementation of these systems, the impact they have on the general socio-economic context, as well as their cost-effectiveness where applicable. The analysis presented in this report is based on interviews with key experts and stakeholders from Spain and a substantial secondary data collectionJRC.J.3-Information Societ

Cost-Effectiveness Assessment of Internet of Things in Smart Cities

With the ongoing rapid urbanization of city regions and the growing need for (cost-)effective healthcare provision, governments need to address urban challenges with smart city interventions. In this context, impact assessment plays a key role in the decision-making process of assessing cost-effectiveness of Internet of Things–based health service applications in cities, as it identifies the interventions that can obtain the best results for citizens' health and well-being. We present a new methodology to evaluate smart city projects and interventions through the MAFEIP tool, a recent online tool for cost-effectiveness analysis that has been used extensively to test information and communications technology solutions for healthy aging. Resting on the principles of Markov models, the purpose of the MAFEIP tool is to estimate the outcomes of a large variety of social and technological innovations, by providing an early assessment of the likelihood of achieving anticipated impacts through interventions of choice. Thus, the analytical model suggested in this article provides smart city projects with an evidence-based assessment to improve their efficiency and effectivity, by comparing the costs and the efforts invested, with the corresponding results

The Integration of Information and Communication Technology into Nursing

Objectives To identify and characterise different profiles of nurses¿ utilization of Information and Communication Technology (ICT) and the Internet and to identify factors that can enhance or inhibit the use of these technologies within nursing. Methods An online survey of the 13,588 members of the Nurses Association of Barcelona who had a registered email account in 2006 was carried out. Factor analysis, cluster analysis and binomial logit model was undertaken. Results/Findings Although most of the nurses (76,70%) are utilising the Internet within their daily work, multivariate statistics analysis revealed two profiles of the adoption of ICT. The first profile (4.58%) represents those nurses who value ICT and the Internet so that it forms an integral part of their practice. This group is thus referred to as ¿integrated nurses¿. The second profile (95.42%) represents those nurses who place less emphasis on ICT and the Internet and are consequently labelled ¿non-integrated nurses¿. From the statistical modelling, it was observed that undertaking research activities an emphasis on international information and a belief that health information available on the Internet was ¿very relevant¿ play a positive and significant role in the probability of being an integrated nurse. Conclusion The emerging world of the 'integrated nurse' cannot be adequately understood without examining how nurses make use of ICT and the Internet within nursing practice and the way this is shaped by institutional, technical and professional opportunities and constraints.JRC.DDG.J.4-Information Societ

Strategic Intelligence Monitor on Personal Health Systems phase 2 (SIMPHS 2) - Country Study France

This study presents and discusses the status of integrated personal health systems (IPHS) in France. It aims to illustrate through case studies the patient and health monitoring systems that are available, the level of implementation of these systems, the impact they have on the general socio-economic context, as well as their cost-effectiveness where applicable. The analysis presented in this report is based on interviews with key experts and stakeholders from France and a substantial secondary data collection.JRC.J.3-Information Societ