eHealth Today 2 The 7th Asia Telemedicine Symposium, 2013 1 - PDF document

Frank Lievens, ISfTeH Towards eHealth Implementation: What? Where? How Much? F. Lievens 1,2 , M. Jordanova 3,4 1 Board Member, Secretary and Treasurer of International Society for Telemedicine & eHealth (ISfTeH), Switzerland 2 Director, Med ‐ e ‐ Tel, Belgium, lievens@skynet.be 3 Space Research & Technology Institute, Bulgarian Academy of Sciences, Bulgaria 4 Education Program Coordinator, Med ‐ e ‐ Tel, mjordan@bas.bg 13-14 December 2013 The 7th Asia Telemedicine Symposium, Bangkok, Thailand eHealth Today 2 The 7th Asia Telemedicine Symposium, 2013 1

Frank Lievens, ISfTeH eHealth Is Already an Integral Part of Public 13-14 December Health 2013 The 7th Asia Telemedicine Symposium, Bangkok, Thailand From eHealth to Personal Well‐ being COCIR Telemedicine Toolkit, Supporting Effective Deployment of Telehealth and Mobile Health, May 2011 3 Fisk MJ. The Emerging Evidence for …www.medetel.lu/download/2010/parallel_ sessions/presentation/day2/The_Emerging_ Evidence.pdf 13-14 December eHealth Promises Prove to be True 2013 • Quick, timely high quality affordable healthcare for all, everywhere, at any time • Overcoming shortage of healthcare staff and funding The 7th Asia Telemedicine Symposium, Bangkok, Thailand • Optimization of patient care • Optimization of the work of medical staff The fulfillment of these • Enhancing preventive care promises requires an • Protecting human rights approach at global level • Educating and thus empowering citizens • … • In 2005, the World Health Assembly recognized eHealth as the way to achieve cost ‐ effective and secure use of information and communication technologies (ICT) for health and related fields, and urged its Member States to consider drawing up long ‐ term strategic plans for developing and implementing eHealth services and infrastructure in their health sectors 4 The 7th Asia Telemedicine Symposium, 2013 2

Frank Lievens, ISfTeH 13-14 December Digital Health Statistics and Trends as per 2012 2013 • How Physicians Utilize Digital Media The 7th Asia Telemedicine Symposium, Bangkok, Thailand • Physicians spend an average of 11 hours online for professional purposes per week • Two ‐ thirds of physicians use online video to learn and keep up to date with clinical information … • Nearly half of Consumers say they would buy mobile health tech to • Monitor fitness & wellbeing ‐ 20% • Allow a physician to remotely monitor a Source: e ‐ Health Reporter Latin America, condition ‐ 18% http://www.ehealthreporter.com • Allow a physician to remotely continue to monitor a previous condition ‐ 11% … 5 Data based on Manhattan Research: Taking the Pulse US 2012 and Rock Health Business Models in Digital Health Consumer & Enterprise, 2012 13-14 December 2013 The 7th Asia Telemedicine Symposium, Bangkok, Thailand What? 6 The 7th Asia Telemedicine Symposium, 2013 3

Frank Lievens, ISfTeH 13-14 December eHealth ‐ Changing the 3 Main Aspects of Healthcare 2013 • Prevention The 7th Asia Telemedicine Symposium, Bangkok, Thailand • Treatment of diseases • Facilitating healthy lifestyle & educating citizens Gudu et al. Challenges in the Implementation …, Med ‐ e ‐ Tel 2012 7 Pallavicini et al. BiofeedBack, Virtual Reality and Mobile Phones in the Treatment of Generalized Anxiety Disorder, Med ‐ e ‐ Tel 2010 13-14 December 2013 Web and SMS ‐ servers for safe motherhood program and in ‐ house training of personnel ‐ Philippines, The 7th Asia Telemedicine Symposium, Bangkok, Thailand Pakistan, Indonesia Reaching under ‐ served and VR and treatment of phobias isolated areas, Brazil Nowadays eHealth is everywhere, influencing the Entire Healthcare System! It is able to provide healthcare everywhere and reach those that are in need on land, at sea or in the air Virtual education Solutions for remote areas, Russia 8 Telerehabilitation of articulation Supporting wound care disorders of children All illustrations are from Med ‐ e ‐ Tel, www.medetel.eu The 7th Asia Telemedicine Symposium, 2013 4

Frank Lievens, ISfTeH 13-14 December eHealth Mobile Clinics Reach Those in Need 2013 ISRO's Ophthalmologic Mobile clinic (India) connected with The 7th Asia Telemedicine Symposium, Bangkok, Thailand ophthalmologic clinic Sankara Nethralaya, www.isro.org Mobile Telemedical Unit (UNICAT GmbH, Germany) intended for emergence situations. The Unit is mounted on the Mercedes ‐ Benz, high ‐ speed satellite TANA Telemedicine unit system, the mobile x ‐ ray …, 2 beds for (Russia) ‐ emergency, hard injured, http://www.unicat.com tuberculosis, malaria, prophylactic examinations … www.tana.ru 9 Media Lab Asia (India), telemedicine van urgent help, focus: tuberculosis, a Mexican Mobile Clinic (Mexico) – stomatology, diabetes, pre ‐ natal complications, motherhood, screening …, www. medialabasia.in http://www.mobileclinicsinternational.com/ 13-14 December 2013 The 7th Asia Telemedicine Symposium, Bangkok, Thailand Where? eHealth Applications Everywhere 10 The 7th Asia Telemedicine Symposium, 2013 5

Frank Lievens, ISfTeH 13-14 December 2013 • Algeria Telemonitoring of patients with chronic digestive diseases • Zerroug M., Sari Z., Telemonitoring of • Angola Patients…, Med ‐ e ‐ Tel 2009 Training on Telecardiology • The 7th Asia Telemedicine Symposium, Bangkok, Thailand Promoting telehealth • • Egypt Intelligent technologies for medical knowledge engineering • • Kenya Anti Retroviral Treatment (ART) Provision • Gaspar et al., Pilot Telehealth Project Diagnostic and Treatment Expert System for Hypertension in • Brazil ‐ Angola …, Med ‐ e ‐ Tel 2013 Pregnancy • Nigeria Continuous Medical Education • Telenursing • mHealth • • Tanzania Open source platform for medical records system Gudu et al. Challenges in the • Implementation …, Med ‐ e ‐ Tel 2012 11 Nwuke et al. Effectiveness of mHealth Routen T. Android/OpenMRS, Services…, Med ‐ e ‐ Tel 2013 Med ‐ e ‐ Tel 2011 13-14 December 2013 • Afghanistan The 7th Asia Telemedicine Symposium, Bangkok, Thailand From emergency care to protection of pregnancy & mental health • • Bangladesh SMS for motherhood support • • Bhutan Health Help Center • • China Telemedicine from A to Z ‐ from scientific research and development of systems to manufacturing of • equipment – diagnosis, second opinion, education, etc. SUNPA is serving >500 hospitals Wireless hospitals, synchronous Teleconsultation • … • • India >500 Telemedicine units in suburban and rural India • Mobile eHealth Program • National Telemedicine Advisory Council • National Institute of Medical Informatics & Telemedicine Mishra S. Current Scenario & • Future Trends of Indian • … Telemedicine, Med ‐ e ‐ Tel 2013 12 New Zealand (97%) and Australia (95%) – world leaders in application of EPRs The 7th Asia Telemedicine Symposium, 2013 6

Frank Lievens, ISfTeH 13-14 December • Israel 2013 • Homecare systems • Chronic care & rehabilitation • Mobile health systems The 7th Asia Telemedicine Symposium, Bangkok, Thailand • Wireless personal alarm systems • Tele ‐ consultation • Japan Hosokawa A. Cost ‐ Benefit Analysis on Tele ‐ Speech ‐ Language Therapy, Med ‐ e ‐ Tel 2011 • Various eHealth apps – from speech rehabilitation to mHealth & maternal care • Pakistan and Philippines • Online TB diagnosis • Report of pregnancy by SMS • Support of healthcare professionals in rural and remote areas • Singapore • Started the implement of National Electronic Ogata Y., Hara K. The Medical ICT Utilization to Perinatal Telemedicine 13 Health Record with $176 million in Remote Areas, Med ‐ e ‐ Tel 2013 13-14 December 2013 Austria • From Telemonitoring and homecare to mobile Tele ‐ • The 7th Asia Telemedicine Symposium, Bangkok, Thailand workplaces for radiologist and emergency medicine Cecil S., Bammer M., Schmid G. Measurement of Blood Glucose by Near Field Communication Czech Republic (NFC), Med ‐ e ‐ Tel 2013 • EPRs for dental care & cancer screening • Elsner et al. Determination of Finland Relevant First Aiders within a • Volunteer Notification Mobile control of diabetes, hypertension ,etc. System, Med ‐ e ‐ Tel 2013 • Education • Germany • Chronic disease management • Virtual clinics, emergency care … • Russia • From mobile hospitals (trains) and Tele ‐ nursing to • Tele ‐ education, homecare and portable telemedicine systems for emergency situations 14 … • Selkov A., Selkova E. Telemedical Consultation Center as a Tool for Promoting Innovative Health Care in Remote Regions of Russia , Med ‐ e ‐ Tel 2012 The 7th Asia Telemedicine Symposium, 2013 7