scholarly journals eHealth in Europe – Status and Challenges

2013 ◽  
Vol 22 (01) ◽  
pp. 59-63 ◽  
Author(s):  
W. O. Hackl ◽  
J. Hofdijk ◽  
L. Van Gemert-Pijnen ◽  
E. Ammenwerth ◽  
P. Nykänen ◽  
...  
Keyword(s):  
Health Care ◽  
Organizational Change ◽  
Health System ◽  
Medical Informatics ◽  
European Federation ◽  
Technological Infrastructure ◽  
Further Development

Summary Objectives: To present European reflections on the concept of eHealth and emerging challenges related to further development of eHealth in Europe. Methods: A survey with 10 questions was distributed to representatives of the national member associations of the European Federation of Medical Informatics (EFMI). Results: The results document a shift from a constricting ICT-orientation to development of the entire health system where eHealth strategies, organizational change, and appropriate technological infrastructure are singled out as important aspects. Conclusion: There are urgent needs to ensure that eHealth strategies and policies for further design and deployment of eHealth applications support sociable services and innovations in health care.

scholarly journals The Safe and Effective Use of Shared Data Underpinned by Stakeholder Engagement and Evaluation Practice

2018 ◽  
Vol 27 (01) ◽  
pp. 025-028
Author(s):  
Andrew Georgiou ◽  
Farah Magrabi ◽  
Hannele Hyppönen ◽  
Zoie Wong ◽  
Pirkko Nykänen ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Informatics ◽  
Stakeholder Engagement ◽  
Working Group ◽  
Large Scale ◽  
European Federation ◽  
Data Governance ◽  
Privacy And Security ◽  
Shared Data ◽  
Collaborative Models

Objectives: The paper draws attention to: i) key considerations involving the confidentiality, privacy, and security of shared data; and ii) the requirements needed to build collaborative arrangements encompassing all stakeholders with the goal of ensuring safe, secure, and quality use of shared data. Method: A narrative review of existing research and policy approaches along with expert perspectives drawn from the International Medical Informatics Association (IMIA) Working Group on Technology Assessment and Quality Development in Health Care and the European Federation for Medical Informatics (EFMI) Working Group for Assessment of Health Information Systems. Results: The technological ability to merge, link, re-use, and exchange data has outpaced the establishment of policies, procedures, and processes to monitor the ethics and legality of shared use of data. Questions remain about how to guarantee the security of shared data, and how to establish and maintain public trust across large-scale shared data enterprises. This paper identifies the importance of data governance frameworks (incorporating engagement with all stakeholders) to underpin the management of the ethics and legality of shared data use. The paper also provides some key considerations for the establishment of national approaches and measures to monitor compliance with best practice. Conclusion: Data sharing endeavours can help to underpin new collaborative models of health care which provide shared information, engagement, and accountability amongst all stakeholders. We believe that commitment to rigorous evaluation and stakeholder engagement will be critical to delivering health data benefits and the establishment of collaborative models of health care into the future.

scholarly journals 10.I. Workshop: Lessons from funding programmes for the development and testing of new care and payment models

2021 ◽  
Vol 31 (Supplement_3) ◽  
Author(s):  
◽  
Keyword(s):  
Health Care ◽  
Health System ◽  
Social Care ◽  
Shared Learning ◽  
Health And Social Care ◽  
Cross Country ◽  
Set Up ◽  
Learning And Collaboration ◽  
Further Development ◽  
Payment Models

Abstract   To keep health care sustainable while ensuring that patients receive the best possible care, there is a need to find suitable ways of organising and structuring health care that are better applicable to for example the treatment of non-communicable diseases and multimorbidity. Improving coordination processes across different health and social care actors is crucial and as pressures on health systems have mounted, there has been increasing interest in how different methods of delivering or paying for healthcare can help in achieving overall health system goals. Some countries have set up specific ‘Innovation funds' to support the testing of new care and payment models. In this workshop we will have a closer look at how such dedicated funding programmes can be used as a tool to foster this particular type of innovation. This is especially valuable for participants who are interested in the initial or further development of such funding streams. The workshop will have the format of a regular workshop and will start with four presentations followed by ample time for an interactive discussion on specific subtopics or questions raised by the audience. Key messages This workshop will allow for cross country learning and evaluation of funding programmes that invest in new care and payment models and create opportunities for shared learning and collaboration. This workshop will also draw more attention towards current developments on how new care and payment models can be developed, invested in and implemented.

scholarly journals Building a Privacy, Ethics, and Data Access Framework for Real World Computerised Medical Record System Data: A Delphi Study

2016 ◽  
Vol 25 (01) ◽  
pp. 138-145 ◽  
Author(s):  
H. Liyanage ◽  
S.-T. Liaw ◽  
C. T. Di Iorio ◽  
C. Kuziemsky ◽  
R. Schreiber ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Informatics ◽  
Health Research ◽  
Delphi Study ◽  
Data Access ◽  
Integrated Approach ◽  
Ethical Principles ◽  
European Federation ◽  
Delphi Consensus ◽  
Record System

Summary Background: Privacy, ethics, and data access issues pose significant challenges to the timely delivery of health research. Whilst the fundamental drivers to ensure that data access is ethical and satisfies privacy requirements are similar, they are often dealt with in varying ways by different approval processes. Objective: To achieve a consensus across an international panel of health care and informatics professionals on an integrated set of privacy and ethics principles that could accelerate health data access in data-driven health research projects. Method: A three-round consensus development process was used. In round one, we developed a baseline framework for privacy, ethics, and data access based on a review of existing literature in the health, informatics, and policy domains. This was further developed using a two-round Delphi consensus building process involving 20 experts who were members of the International Medical Informatics Association (IMIA) and European Federation of Medical Informatics (EFMI) Primary Health Care Informatics Working Groups. To achieve consensus we required an extended Delphi process. Results: The first round involved feedback on and development of the baseline framework. This consisted of four components: (1) ethical principles, (2) ethical guidance questions, (3) privacy and data access principles, and (4) privacy and data access guidance questions. Round two developed consensus in key areas of the revised framework, allowing the building of a newly, more detailed and descriptive framework. In the final round panel experts expressed their opinions, either as agreements or disagreements, on the ethics and privacy statements of the framework finding some of the previous round disagreements to be surprising in view of established ethical principles. Conclusion: This study develops a framework for an integrated approach to ethics and privacy. Privacy breech risk should not be considered in isolation but instead balanced by potential ethical benefit.

scholarly journals New Scopes for Practice – Interdisciplinary Webinars for Emergency Medicine and Biomedical Informatics – Health Informatics

2020 ◽  
Author(s):  
Kaija Saranto ◽  
Catherine Chronaki ◽  
Luis Garcia-Castrillo Riesgo ◽  
Louise B. Pape-Haugaard ◽  
John Mantas
Keyword(s):  
Emergency Medicine ◽  
Health System ◽  
Medical Informatics ◽  
European Society ◽  
Health Professionals ◽  
Emergency Departments ◽  
Health Informatics ◽  
Biomedical Informatics ◽  
Interdisciplinary Cooperation ◽  
European Federation

This paper presents the early outcomes of the educational cooperation between two European academic associations, namely the European Federation of Medical Informatics (EFMI) and European Society of Emergency Medicine (EUSEM). Two webinars were organized in December 2019 and June 2020 to explore areas where mutual education would be beneficial for interdisciplinary cooperation to advance the digitization of emergency departments for the benefit of patients, health professionals and the health system as a whole. Preliminary findings from the analysis of these two webinars are presented and the steps for further cooperation are outlined.

Health Informatics: Handle with Caution

1997 ◽  
Vol 36 (02) ◽  
pp. 79-81
Author(s):  
V. Leroy ◽  
S. Maurice-Tison ◽  
B. Le Blanc ◽  
R. Salamon
Keyword(s):  
Health Care ◽  
Data Management ◽  
Medical Informatics ◽  
Health Care Professionals ◽  
Data Security ◽  
Health Informatics ◽  
The Other ◽  
Inappropriate Use

Abstract:The increased use of computers is a response to the considerable growth in information in all fields of activities. Related to this, in the field of medicine a new component appeared about 40 years ago: Medical Informatics. Its goals are to assist health care professionals in the choice of data to manage and in the choice of applications of such data. These possibilities for data management must be well understood and, related to this, two major dangers must be emphasized. One concerns data security, and the other concerns the processing of these data. This paper discusses these items and warns of the inappropriate use of medical informatics.

Health and Medical Informatics Education

1994 ◽  
Vol 33 (03) ◽  
pp. 246-249 ◽  
Author(s):  
R. Haux ◽  
F. J. Leven ◽  
J. R. Moehr ◽  
D. J. Protti
Keyword(s):  
Health Care ◽  
Health Information ◽  
Medical Informatics ◽  
Health Informatics ◽  
Information Science ◽  
Management Program ◽  
Science Program ◽  
Special Issue ◽  
Academic Degree ◽  
The University

Abstract:Health and medical informatics education has meanwhile gained considerable importance for medicine and for health care. Specialized programs in health/medical informatics have therefore been established within the last decades.This special issue of Methods of Information in Medicine contains papers on health and medical informatics education. It is mainly based on selected papers from the 5th Working Conference on Health/Medical Informatics Education of the International Medical Informatics Association (IMIA), which was held in September 1992 at the University of Heidelberg/Technical School Heilbronn, Germany, as part of the 20 years’ celebration of medical informatics education at Heidelberg/Heilbronn. Some papers were presented on the occasion of the 10th anniversary of the health information science program of the School of Health Information Science at the University of Victoria, British Columbia, Canada. Within this issue, programs in health/medical informatics are presented and analyzed: the medical informatics program at the University of Utah, the medical informatics program of the University of Heidelberg/School of Technology Heilbronn, the health information science program at the University of Victoria, the health informatics program at the University of Minnesota, the health informatics management program at the University of Manchester, and the health information management program at the University of Alabama. They all have in common that they are dedicated curricula in health/medical informatics which are university-based, leading to an academic degree in this field. In addition, views and recommendations for health/medical informatics education are presented. Finally, the question is discussed, whether health and medical informatics can be regarded as a separate discipline with the necessity for specialized curricula in this field.In accordance with the aims of IMIA, the intention of this special issue is to promote the further development of health and medical informatics education in order to contribute to high quality health care and medical research.

The medical informatics in health care of Russia

2018 ◽  
Vol 26 (6) ◽  
Author(s):  
Zarubina T. V. ◽  
◽  
Kobrinsky B. A. ◽  
Kudrina V. G. ◽  
◽  
...  
Keyword(s):  
Health Care ◽  
Medical Informatics

Issues of co-financing of drug provision for the population: international and Russian practice

2020 ◽  
pp. 49-56
Author(s):  
Vasiliy Ryazhenov ◽  
Victoriya Andreyeva ◽  
Elena Zakharochkina
Keyword(s):  
Health Care ◽  
Life Expectancy ◽  
Health System ◽  
Health Care System ◽  
Russian Federation ◽  
High Quality ◽  
Russian President ◽  
The Russian Federation ◽  
Vladimir Putin ◽  
Drug Provision

Russian President Vladimir Putin defined increase in life expectancy from 72.7 to 78 years by 2024 as a national aim in the Decree № 204 of May 7, 2018. Achievement of this aim depends on drug provision system among other factors. Strategy of drug provision for the population of the Russian Federation for the period until 2025 sets the goal of increasing availability of high quality, effective and safe medicines to meet needs of the population and the health system based on the formation of a rational and balanced system of drug provision for the population of the country with available resources. The health care system should expand the possibilities of using modern and effective mechanisms to ensure the financing of drug provision for the population.

Medical Informatics and the Quality of Health: New Approaches to Support Patient Care

2003 ◽  
Vol 42 (02) ◽  
pp. 185-189 ◽  
Author(s):  
R. Haux ◽  
C. Kulikowski ◽  
A. Bohne ◽  
R. Brandner ◽  
B. Brigl ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Informatics ◽  
Health Care Providers ◽  
Medical Knowledge ◽  
Lessons Learned ◽  
Care Providers ◽  
Access To Health Services ◽  
Leading Role ◽  
Future Challenges

Summary Objectives: The Yearbook of Medical Informatics is published annually by the International Medical Informatics Association (IMIA) and contains a selection of excellent papers on medical informatics research which have been recently published (www.yearbook.uni-hd.de). The 2003 Yearbook of Medical Informatics took as its theme the role of medical informatics for the quality of health care. In this paper, we will discuss challenges for health care, and the lessons learned from editing IMIA Yearbook 2003. Results and Conclusions: Modern information processing methodology and information and communication technology have strongly influenced our societies and health care. As a consequence of this, medical informatics as a discipline has taken a leading role in the further development of health care. This involves developing information systems that enhance opportunities for global access to health services and medical knowledge. Informatics methodology and technology will facilitate high quality of care in aging societies, and will decrease the possibilities of health care errors. It will also enable the dissemination of the latest medical and health information on the web to consumers and health care providers alike. The selected papers of the IMIA Yearbook 2003 present clear examples and future challenges, and they highlight how various sub-disciplines of medical informatics can contribute to this.

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