| HIT adoption, programmes and strategies: short summaries |
| Europe: EU |
EU: Regional |
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The European Commission has
set targets for e-Health planning and implementation within
the European Union. Its e-Health action plan,
(e-Health
- making healthcare better for European citizens: An action
plan for a European e-Health Area) defines a considerable number
of targets. The first is for all member states to develop
roadmaps for e-Health by the end of 2005. The EU anticipates
that by 2008, it will be "supporting the deployment of
health information networks base on fixed and wireless
broadband and mobile infrastructures and Grid technologies."
Plans from all 25 individual EU countries are listed below.
Non-EU countries are covered separately.
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Project covering Denmark,
Norway, Sweden, Estonia and Lithuania to develop a trans-national
digital e-Health infrastructure based partly on existing
data networks. First application area: tele-radiology. |
| Europe: EU |
EU: National |
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The first Austrian Health Portal, commissioned by the Federal Ministry of Health,
was launched at the beginning of 2010.
"In the final phase of the development of the healthcare portal, all Austrians will be given access to their personal Electronic Health Records."
(Elektronischen Gesundheitsakte - ELGA)
[epractice.eu].
Austrian e-Health Initiative focused principally on
Electronic Health Insurance Card for about eight million people with health insurance (development: 2003-05; implementation: 2005+).
Also: electronic health record initiative (ELGA).
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be-health: national e-health
strategy. eHealth platform including eHealthBox. Electronic health insurance
card (SIS card - Système d'Identité Sociale). Development of a health network infrastructure: the Flow project.
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National Strategy for introduction of electronic healthcare
in Bulgaria 2006 – 2009. Includes the introduction of electronic
health records and personal health records, eHealth cards and
hospital information systems.
Deployment of smart cards providing access to the personal health records of military personnel and their families started in early 2010.
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e-Health forms part of the
Czech Information Society and Telecommunications strategy:
e-Czech 2006. IZIP (Internet Access to Patient Health Records): online national patient records developed by IZIP Inc., Prague.
At January 2011, IZIP had 2.5 million registered users.
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 Cyprus
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National IT Strategy for the
Danish Health Service (2003-2007). From March 2010, all Danes can access the 'My Health summary' service via the Danish eHealth portal, Sundhed.dk. |
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Connecting for Health (the National Programme for IT)
(National Health Service,
England) (2004-2010). Includes Care Records Service (CRS) for all patients in England by 2010.
The largest public sector computerisation programme ever initiated.
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Estonian Health Information System (NHIS) development plan 2005-2008;
Estonia Health Project 2015, Ministry of Social Affairs (begun in 2002) including Digital Health Record project.
(See also Baltic eHealth project above.)
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Implementation of electronic patient records for all citizens
by end 2007.
FinnWell: 5 year technology
development programme (2004-2009) which aims to improve
the Finnish healthcare system and create opportunities
for Finnish business and research in healthcare technologies.
Development of "the world's first digital national patient record archive".
"Finland is the first country
worldwide [to] offer such a[n] innovative healthcare service to its population."
(Anne Kallio,
Development director, Ministry of Social Affairs and Health, Finland)
Also: development of a national digital library for e-prescriptions.
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Dossier médical personnel
(DMP) - Personal medical record (2004-2007).
Electronic health insurance
card (VITALE Card), 2001-06+.
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Elektronische Gesundheitskarte
(eHealthcard) (trials in 2006 in eight areas in eight Länder (Federal states); deployment from 2006);
to be followed up by electronic medical records. bIT4health: (bessere IT für bessere Gesundheit): creation of an open standard architecture of an
ehealth telematics platform (Telematik-Infrastruktur) to support integrated care. |
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 Greece
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HYGEIAnet: Integrated Health Telematics Network of Crete |
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General eHealth Program including
the development of a national health IT framework to comply
with the EC eHealth Action plan for Europe (2004-2010).
Dr.Info: health information for Hungarian citizens;
InforMed: portal to medical knowledge.
Introduction of eHealth insurance cards - part of the
New Hungary Development Plan - from 2008.
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National Health Information Strategy, 2005 (Department of Health and Children).
Healthlink (www.healthlink.ie) project - healthcare communications network.
Integrated electronic healthcare record system (from iSoft)
for hospitals, clinics and community settings in Ireland (2005+; 10-year term).
To include integrated care pathways and electronic prescribing.
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e-Health policy document
Una Politica Per La Sanità Elettronica :
Per un migliore e più efficiente Sistema Sanitario
Nazionale attraverso l’innovazione digitale (Tavolo Permanente per la Sanità Elettronica (TSE), Ministro per l’Innovazione e le Tecnologie e dal Ministero della Salute) (31 marzo 2005)
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 Latvia
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Development of a national electronic health system based on a
"unified, nationwide Electronic Health and Healthcare Record System": pilots from 2007.
Participation in the Baltic eHealth project - see above.
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 Luxembourg
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 Malta
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Nationwide medication records for 16 million people (planned for 2006) using AORTA national communications infrastructure for health.
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General strategies on e-Health to comply
with EU policies on eHealth, eGovernment and the Development of the Information Society.
E-health is a priority area in the report
Proposed Directions of the Development of the Information Society
to the year 2020 (2004) and other reports issed by the Polish Ministry of Education and Science.
Elektroniczna karta pacjenta - electronic health insurance card to be implementd nationwide by end 2007.
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2004 study: eSaúde: O que o Sector da Saúde em Portugal tem a ganhar com o desenvolvimento da Sociedade da Informação.
eID Citizen Card (Cartão de Cidadão) (covering entitlement to health services) to be implemented from 2008.
(Pilot Phase in Azores islands from start of 2007.)
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Medici-Online: medical information portal.
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National eHealth/IM&T
Strategy for NHS Scotland (2004-2008)
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 Slovakia
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Slovene National Insurance eCard System (KZZ card)
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 Spain
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Electronic health cards, electronic health records, electronic prescribing interoperable between regional healthcare services.
The province of Andalucía (which is developing a regional healthcare IT network, one of the most integrated in the world) is planning implementation of telemedicine applications and personal electronic health records (historia digital única del ciudano) for all by 2008.
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Carelink: national organisation
that co-ordinates the development and use of IT by medical
professionals. Carelink also manages Sjunet, the Swedish
national IT infrastructure for healthcare. |
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Informing Healthcare (IHC) programme - NHS Wales. Initial 3-year timescale (2004-07).
Includes development of My Health On Line - patient
portal providing access to Individual electronic Health Records (IHR). |
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| references |
Olsson S, Lymberis A, Whitehouse D. European Commission activities in eHealth.
Int J Circumpolar Health. 2004 Dec;63(4):310-6.
[PubMed]
[]
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"
Health-care is an information-intensive and knowledge-demanding sector, which is why eHealth solutions are so important in this field. The European Commission (EC) has been initiating and funding research and development activities regarding Information and Communication Technologies (ICT) for health, or "eHealth", since 1988. These programmes covered priority topics like electronic health-care records, regional and national health networks, telemedicine in homecare and care-at-the-point-of-need to support continuity of care concepts, systems to support people to stay healthy, and systems and tools to support health professionals to work more efficiently and safely on patients. During the 15-year span of the programmes, the European Union (EU) has contributed about 500 million Euro to approximately 400 R&D projects, support activities, best practice and studies covering technical, clinical, ethical, legal, organisational and market issues. eHealth has shown proven benefits in application fields like improved access to care, care at the point-of-need, citizen-centred care, improved quality and cost containment. Such applications were on show at the EU High Level eHealth Conferences in Brussels, Belgium, in 2003, and in Cork, Ireland, in 2004. eHealth is now on the governmental agenda of EU Member States to be implemented on a broader scale. In line with this development, the Commission has taken a number of policy initiatives. A European Union Action Plan for a European eHealth Area was published by the Commission in April 2004 and endorsed by the EU health ministers in June 2004. This means that, for the first time, Europe has a coherent agenda for the implementation of eHealth. This report will concentrate on eHealth activities initiated by the Information Society Directorate-General of the European Commission.
"
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| links |
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European
Union [OC]
Baltic eHealth
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Public reports on e-Health [OC]