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OPEN DAYS 2008
Session:“eHealth: From early promise to sustainability”
Introduction: eHealth – overambitious dreams or reality?
Gérard ComynActing Director ‘ICT for societal challenges’
Head of Unit ‘ICT for health’DG Information Society & Media
European Commission
OPEN DAYS 2008
Challenges for European Health Systems
• Pressure on healthcare systems Demographic changes are common to EU and Asia
more people will require prolonged care Increased prevalence of chronic diseases
substantial part of the overall healthcare costs Citizens’ expectations and demands for high-quality care Inadequate safety standards and quality control
Medical accidents Inefficiencies and staff shortages Reactive model of healthcare delivery
treatment after appearance of symptoms Rising healthcare costs
faster than the economic growth itself
• How to offer high-quality & affordable care?
OPEN DAYS 2008
• Require changes in the way: Healthcare is delivered Medical knowledge is managed & transferred in clinical
practice
• Emphasis on: Improved illness prevention/prediction and safety of care Individual citizen with stronger role in healthcare process Remote monitoring and care
continuity of care - health services outside hospitals Efficient, personalised disease management and care
Needs and Trends
OPEN DAYS 2008
• For improvement of quality of care - Saving lives– ICT infrastructure for Continuity of care, Personalisation,
prevention and improved patient safety
• For increase of productivity - Saving Money– Cost benefits possible when eHealth combined with
appropriate organization and skills
• For economic development - eHealth Market– To facilitate sustainable growth of transparent and
innovation friendly eHealth market. Current market size estimated at € 20 Billion
Our WIN³ approach for eHealth
OPEN DAYS 2008
EU GPs using a computer during consultation, in % (EC Study 2007)
Source: empirica: ICT and eHealth use among GPs in Europe 2007, Bonn April 2008
100%
66%
3%
Random samples of 6,789 GPs in 29 countries
94 93 92
84
7673 72
66 65 6459
54
47
3227
21 20 18
118 3
66
5956
77
10095 94
72
81
0
10
20
30
40
50
60
70
80
90
100
FI
UK
EE
NL
NO
DK IS IT
BG
BE
SK
FR
DE
ES
EU
27
HU
PT
CZ
LU IE AT
SE
CY
MT
RO EL SI
PL
LT
LV
OPEN DAYS 2008
Dream vs. Reality
0
2
4
6
8
10
12
14
16
18
CompleteEHR/ interoperability
ePrescription
Priority(dream)
Reality
# MS
Source: empirica: ICT and eHealth use among GPs in Europe 2007, Bonn April 2008
OPEN DAYS 2008
Source: empirica: ICT and eHealth use among GPs in Europe 2007, Bonn April 2008
Networking: e-Prescribing
ePrescribing
81
71
18
5 2 2 2 2 2 1 1 1 0 0 0 0 0 0 0 0 0 0 01 136 6
97
230
10
20
30
40
50
60
70
80
90
100
EU
27
EU
27+
2
DK
SE
NL IS UK
ES
NO
BG PT
AT SI
EL
BE
FR LT HU IT EE IE FI
SK PL
CZ
DE
CY
LV LU MT
RO
OPEN DAYS 20080
10
20
30
40
50
60
70
80
90
Using PC
Using electronic patien data storage
Routinely using PC in consultation
Internet access
Connecting with broadband
Using decision support software forprescribing or diagnosis
Accessing other health institutions networks
Occasionally using PC to illustrate to patient
Regularly using PC to illustrate to patient
Exchanging administrative data withreimbursing organisations
Occasionally using Internet and electronichealth networks to provide telemonitoring tohome-patientsRoutinely using Internet and electronic healthnetworks to provide telemonitoring to home-patients
87.4%
80%
66.1%69%
62.5%62.3%
55.2%
44.4%
13.9%15.1%
2.7%0.9%
EU World Leader in deployment in primary care (EC Study 2007)
These are averages! They can hide big MS differencies, ex. 3rd column (66%)
OPEN DAYS 2008
• Boario telecardiology: 35-47% reduction in hospital admissions (in various studies) 12% reduction in outpatient visits
• UK studies: Wireless Healthcare (2004): Early discharge from hospitals ->
up to 85% reduction in weekly care costs Cost of telecare at home with 24 hours response = 1/3 of the cost
of a nursing home place
• Potential of Mobile Monitoring in Germany Up to €1.5 billion/year savings through early patient
discharge (Assuming 3 days less hospital stay for 20% of patients)
Telemedicine Benefits
OPEN DAYS 2008
Telemedicine growth estimation 2007-2012
The global market for telemedicine is estimated to be worth €4.7 billion in 2008, increasing to over €11.2 billion by 2012, an average annual growth rate of 19%.
Telemedicine market 2007
€ 4.7 billion
Telemedicine market 2012
€11.2 billion
Est. annual Growth Rate 19%
Source: Telemedicine; Opportunities For Medical and Electronic Providers. BCC Research, 2007
OPEN DAYS 2008
Purpose of use of internet and electronic health networks: Telemonitoring routinely
3 3 2 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 00 01
1 1
9 110
10
20
30
40
50
60
70
80
90
100
EU
27
EU
27
+2
SE
NL IS UK IE PT
BG FI
DE
AT
FR EL
BE
ES
LV
NO
DK
SK
RO
CZ
EE IT CY
LT
LU
HU
MT
PL SI
Source: empirica: ICT and eHealth use among GPs in Europe 2007, Bonn April 2008
Networking: telemonitoring
OPEN DAYS 2008
For further information
• DG ENTR LMI microsite:http://ec.europa.eu/enterprise/leadmarket/leadmarket.htm
• eHealth Task Force report:http://ec.europa.eu/information_society/activities/health/docs/lmi-report-final-2007dec.pdf
• INFSO H1 Policy site:http://ec.europa.eu/information_society/activities/health/index_en.htm
• e-Newsletter:http://ec.europa.eu/information_society/activities/health/newsletter/index_en.htm
• Research site:http://cordis.europa.eu/ist/health/index.html
• Interactive Portal:http://www.epractice.eu
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