Alcuni abstract di articoli che trattano argomenti relativi all'eHealth

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Strategic Intelligence Monitor on Personal Health Systems Phase 3 (SIMPHS3) - Operational Guidelines for ICT-supported Integrated Care and Independent Living

The guidelines in this report have been developed as part of the Strategic Intelligence Monitor on Personal Health Systems Phase 3 (SIMPHS3) project. Twenty-four ICT-supported integrated care initiatives in the EU were identified which supported integrated care and/or independent living and were either deployed or promising large scale pilots. The aim of this report is to define a set of recommendations to guide the process of developing and implementing ICT-supported integrated care and independent living, based on the experiences made in these 24 initiatives. The intended audience for this guidance document are those who work on the development and implementation of initiatives at an operational level, such as professionals, managers in healthcare organisations, regional managers of health or social care, health insurers, professionals’ organisations, etc.JRC.J.3-Information Societ

What do we know from the literature on public e-services?.

Public e-services are a broad and growing research field in which scholars and practitioners from different domains are involved. However, the increasing attention devoted to public e-services only partially captures the extreme variety of aspects and implications of the diffusion of information and communication technologies at all levels of public administrations. The paper aims to develop a meta-analysis of the literature on the delivery, diffusion, adoption and impact of public e-services and examines current research trends in terms of differences in methodologies, approaches and key indicators across five service platforms: eGovernment, eEducation, eHealth, Infomobility and eProcurement. We examined 751 articles appeared in 2000-2010 in the top international academic journals listed in the Social Science Citation Index (SSCI) of the Institute for Scientific Information (ISI), as classified in the following fields: Communication, Economics, Education, Environmental Studies, Geography, Health Policy & Services, Information Science & Library Science, Law, Management, Planning & Development, Public Administration, Transportation and Urban Studies. We highlight a significant heterogeneity in scientific production across service domains, countries covered by empirical analyses, indicators used, and affiliation of authors. We also show an increasing diffusion of quantitative methods applied to different research fields which still appears to be constrained by data limitations. The overall picture emerging from the analysis is one characterized by largely unexplored service domains as well as scarcely analyzed issues both across and within individual service platforms (e.g. front vs. back office issues). Thus many research opportunities seem to emerge and need to be exploited from different disciplinary perspectives in this field of analysis.eGovernment, eEducation, eHealth, Infomobility, eProcurement, Bibliometrics, Metaanalysis, Innovation in services, Public e-services

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

Strategic Intelligence Monitor on Personal Health Systems (SIMPHS): Market Structure and Innovation Dynamics

Personal Health Systems (PHS) and Remote Patient Monitoring and Treatment (RMT) have the potential to alter the way healthcare is provided by increasing the quantity and quality of care. This report explores the current status of PHS and, more specifically of the RMT market in Europe. It addresses the question of how these technologies can contribute facing some of the challenges standing in front of the European healthcare delivery systems causes by higher demand pressures through chronic diseases and demographic change combined with diminishing resources for health care. An uptake and diffusion of these services would potentially lead to benefits through a reduction in death rates, and avoid recurring hospitalisation in a cost-effective manner. Yet the report identifies different categories of barriers hampering a full deployment of RMT in Europe. In the concluding part the reports provides a number of tentative policy options specifically aimed at fostering EU-wide deployment of RMT/PHS.JRC.DDG.J.4-Information Societ

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

A Scoping Review Exploration of the Intended and Unintended Consequences of eHealth on Older People:A Health Equity Impact Assessment

eHealth is one perceived mechanism to extend the range and reach of limited health-care resources for older adults. A decade-scoping review (2007–2017) was conducted to systematically search and synthesize evidence to understand the intended and unintended consequences of eHealth initiatives, informed by a health equity impact assessment framework. Scoping review sources included international academic and grey literature on eHealth initiatives (e.g., eHealth records, telemedicine/telecare, and mobile eHealth application) focused on the varying needs of older adults (aged 60+), particularly individuals experiencing sociocultural and economic difficulties. Findings suggest that eHealth has several potential benefits for older adults, but also the possibility of further excluding already marginalized groups, thereby exacerbating existing health disparities. Ongoing evaluation of eHealth initiatives for older adults is necessary and requires attention to unique individual-level, socioeconomic, and cultural characteristics to heighten benefits and better capture both the intended and unintended outcomes of advanced eHealth systems.peerReviewe

mHealth and telemedicine apps: in search of a common regulation

Developments in information and communication technology have changed the way healthcare processes are experienced by both patients and healthcare professionals: more and more services are now available through computers and mobile devices. Smartphones are becoming useful tools for managing one’s health, and today, there are many available apps meant to increase self-management, empowerment and quality of life. However, there are concerns about the implications of using mHealth and apps: data protection issues, concerns about sharing information online, and the patients’ capacity for discerning effective and valid apps from useless ones. The new General Data Protection Regulation has been introduced in order to give uniformity to data protection regulations among European countries but shared guidelines for mHealth are yet to develop. A unified perspective across Europe would increase the control over mHealth exploitation, making it possible to think of mHealth as effective and standard tools for future medical practice

The Role of Psychological Factors in Older Adults’ Readiness to Use eHealth Technology : Cross-Sectional Questionnaire Study

Background: Information and communication technology (ICT) use among older adults has been on the rise in recent years. However, the predictors and mechanisms behind older adults’ acceptance and use of ICT are not clear. Objective: This study aimed to systematically describe ICT usage among Czech older adults and to evaluate the factors influencing their ICT use and readiness to use digital technology to promote health (eHealth readiness). The primary focus was on psychological factors and the role of persons close to older adults. Methods: The research utilized cross-sectional survey data from a quota-based sample of Czech older adults (>50 years) and persons close to them further referred to as close persons (N=250 dyads). A structural equation modeling framework was used to evaluate relationships between psychological factors, ICT use, and eHealth readiness. Results: Czech older adults’ use of ICT is low with the exception of cell phone usage (cell phone usage by 173/250, 69.2%; other devices used by 50/250, 20.0% of older adults or less). Apart from age (ß=-.21; P<.001), eHealth readiness was predicted by ICT use (ß=.65; P<.001). eHealth readiness was also indirectly affected by the need for cognitive closure (NFCC): individuals with a high need for closure perceived more barriers to ICT (ß=.23; P=.01) and more reported barriers were linked to lower ICT usage (ß=-.21; P=.001). The expected positive relationships between eHealth readiness of persons close to older adults and ICT use and eHealth readiness of older adults were not significant, but the total effect of eHealth readiness of persons close to older adults on eHealth readiness of older adults was positive and significant (ß=.18; P=.01), indicating some level of influence of persons close to them on older adults’ attitudes and behaviors. Conclusions: This study provided the first systematic examination of Czech older adults’ ICT usage and eHealth readiness. Novel predictors (NFCC and close persons’ variables) were evaluated and yielded actionable results. More research is needed to clarify the role of persons close to older adults