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European eHealth Trends:expectations, implications and
actions
Tove SørensenProject Manager ’eHealth Trends’, Norwegian Centre for Telemedicine
eHealth 2006 Conference, Malaga, Spain10-12 May 2006
background
digital opportunities(D Bogdan and V Gray, ITU, )
Source: ITU World Telecommunication Indicators Database.
.
Telephone subscribers and Internet users, World, billion
0
1
1
2
2
1994 96 98 2000 02 2004
Fixed-line
Mobile
Internet users
digital divide (D Bogdan and V Gray ITU)
Source: ITU World Telecommunication Indicators Database.
Internet penetration by region, 2004
5.6
1.8
8.4
13.2
28.2 28.7
0
10
20
30
Americas Europe World Asia-Pacif ic
Africa ArabStates
%Distribution of broadband subscribers by
region, 2004, in percent
Asia-Pacif ic: 41.6%
North America: 27.9%
LAM & Caribbean: 2.4%
Europe: 27.8%Arab States: 0.2%
Africa: 0.1%
perceptions
Click to get Sick
Internet Makes Us Sick
Too much Advice Can Be Bad for Your Health
Is Cybermedicine killing you?
- or part of daily life?
eHealth trends: a study of seven European countries
• Focusing on the “new patients or consumers” and the digital divide in Europe
• Developing a European survey on eHealth consumer trends, 18 months interval
• A citizens’ approach– Patients– Patients’ friends and relatives– Citizens in general
• Co-funded by DG SANCO (2005-2008)
seven European countries• Norwegian Centre for Telemedicine,
University Hospital of North Norway, Norway (NST)
• Fyns Amt, Danish Centre for Health Telematics, Denmark (Funen)
• Friedrich-Alexander-Universität Erlangen-Nürnberg, Lehrstuhl für Medizinische Informatik, Germany (IMI)
• Foundation for Research and Technology - Hellas, Greece (FORTH)
• Health Promotion State Agency, Latvia (HPSA)
• Wroclaw Medical University, Poland (Wroclaw)
• Universidade de Aveiro, Portugal (Aveiro)
objectives
• Assess peoples’ current use of Internet-based services for health purposes
• Assess peoples’ attitudes to the use of Internet-based services for health purposes
• Assess peoples’ expectations with regard to eHealth services from their family doctors
three dimensions
• SPACE: Examine if there is a difference in the population’s use of, their attitudes and needs of eHealth accross Europe
• TIME: Examine if and to what degree the findings change through the study period
• ACCESS: Relate the findings concerning the above mentioned objectives to peoples’ degree of Internet access
method
• Survey conducted by telephone interviews on a representative sample of the population
• Same questionnaire at the same time, week 40-45 in 2005
• Optional country specific questions. Maximum total length: 15 min
• 2nd survey planned in spring 2007
research area
• Internet access and frequency
• Sources of information about health and illness
• Purpose or areas of use
• Impacts
• Importance
• Expectations towards health care sector
what do we find?
• General Internet use and searching for health information follow the same geographical distribution
• Searching for health information is most common
• Today, the Internet seems to be a supplement – not a replacement for f-t-f health services
case Norway
daily Internet use, Norway 2005
0
20
40
60
80
100
120
unde
r 12
13-1
5
16-1
9
20-2
4
25-3
4
35-4
4
45-5
4
55-6
6
67-7
9
percentage
minutes all
minutes users
who are the typical users?
General Internet use (2005)• Young men• Well educated with good income• Living in urban areas
Internet for health purposes• Young women
• White collar
Norwegian trends – health information on the Internet
Norwegians seeking health information on the Internet
2001 2002 2005
Norwegiansseeking healthinformation on theInternet
impacts
suggestdiagnosis
order products
feel relaxed
feel concerned
change lifestyle
Read
decide ifcontact doctor
Follow-up ftervisist
Prepare for visit
N=1007
when choosing a doctor
Acces
s
Recom
men
datio
ns
Info
rmat
ion o
n th
e of
fice
Price
SMS-re
mind
ers
e-m
ail
Reque
st a
pp o
nline
Web
site
e-pr
escr
iption
s
Acces
s to
EHR
Serie1
Norwegian – trends 2001-2005
• Use of Internet for health purposes is increasing (as is Internet use in general)
• Still, doctors and other health care professionals are the No1 channel for health information
• Citizens would like doctors who offer eHealth services
information-implication-action
action on different levels
• Individuals: citizens in general, patients, next of kin and health professionals
• Organisations: (e)health providers, patient-organisations, unions, academia
• Systems: Policy-makers, public health systems
concluding remarks
• acknowledge information access as a resource, not a threat
• recognise new research agenda
• decrease the e-gap in the population
• look back, catch up, think future
a part of daily life
welcome
to
Tromsø
12-14 June 2006