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eHealth: Past, Present & Future
Marco Antonio Gutierrez
Heart Institute (InCor)University of São Paulo, Medical School
eHealth . . .eHealth . . .
"eHealth is the single-most important revolution in healthcare since the advent of modern medicine, vaccines, or even public health measures like sanitation and clean water”
Silber D. The case for eHealth. (Presented at the European Commission's first high-level conference on eHealth May 22/23 2003) European Institute of Public Administration 2003.
From Medical Informatics to eHealthFrom Medical Informatics to eHealth
Classical Medical Informatics – stand alone era (1970+)
Health Telematics – early telecom days (1985+)
eHealth – Web era (1995+)
Pervasive and ubiquitous eHealth - ambient intelligence era (2005+)
Classical Medical Informatics – stand alone era (1970+) Systems for the storage, retrieval, sharing and optimal use of
biomedical data, information and knowledge
Health Telematics – early telecom days
(1985+)Regional health care networksRemote diagnosis and telemedicine applicationsDecision Support Systems
From Medical Informatics to eHealthFrom Medical Informatics to eHealth
eHealth – Web era (1995+)
Internet based applications and servicesMedical content for prevision Intranets for health service management
Pervasive and ubiquitous eHealth - ambient intelligence era (2005+)
Health knowledge infrastructureWearable and implantable systemsBiomedical informatics for personalized health (Genomic data,
Bigdata, …)Health GRIDs (EELA-2), Private Clouds, …
From Medical Informatics to eHealthFrom Medical Informatics to eHealth
EC definition of eHealthEC definition of eHealth
the use of modern information and communication technologies to meet needs of citizens, patients, healthcare professionals, healthcare providers, as well as policy makers"
http://europa.eu/
WHO definition of eHealth WHO definition of eHealth
"eHealth is the cost-effective and secure use of information and communications technologies in support of health and health-related fields,
including health-care serviceshealth surveillancehealth literaturehealth education, knowledge and research
World Health Organization , Ninth plenary meeting, 25 May 2005Committee A, seventh report
Information
Communication
Interaction
Transaction
No information
Stage 4
Stage 3
Stage 2
Stage 1
Effi
cien
cy a
nd q
ualit
y of
ser
vice
Level of process orientation
Low
Hig
h
Low High
Integration
Stage 5Electronic Patient Record
Electronic Health Record
The 5 Steps of e-Health
PrivacyIntegrityConfidentialitySemanticsBigdata …
Cloud Environment
Knowledge in Medicine Knowledge in Medicine
Marco Antonio GutierrezInformatics DivisionHeart Institute (InCor)University of São Paulo, Medical SchoolPhone: +55 11 2661-5441Email: [email protected]
Thank you !
