eHealth in the Netherlands:The Polder Model

30 november 2010, Medicine 2.0

Pim Ketelaarwww.nveh.nl

voorzitter@nveh.nl

Poldering…

Reality check

What percentage of Dutch GP’s uses teledermatology?

a) 12%

b) 32%

c) 58%

Reality check

The Dutch Association of e-Health

Nederlandse Vereniging voor eHealth (NVEH)The NVEH is:• the leading independent association for e-Health and

telemedicine in the Netherlands. • the Dutch representative in the International Society

for Telemedicine & eHealth (ISfTeH)

The NVEH aims at improving the quality of care by promoting the structural and responsible use of e-Health and telemedicine.

The NVEH organises medical professionals, ICT professionals, researchers, entrepreneurs and policy makers with an interest in improving the quality of the e-Health product in the Netherlands.

www.nveh.nl

The NetherlandsChallenges…

Dutch E-Health: an overview (1)

• National EHR in progress…• Telemedicine: many pilots; growing routine• No central co-ordination• Drivers: Patient safety, quality of care, cost control

Dutch E-Health: an overview (2)

• Teleconsultation: e-Consult with GP in (little) use

• Teledermatology, teleradiology: working practice

• Telemonitoring: promising large scale studies

• E-Mental Health:working and moving

• Elderly care: screen-to-screen care embedded

• Significant research: University of Twente and UMC´s

Dutch E-Health: an overview (3)

• Federation of Patients and Consumer Organizations of the Netherlands (NPCF): eHealth is needed for more patient empowerment

• Royal Dutch Association of Medicine (KNMG): eHealth driver for quality

• Healthcare insurance companies:Precompetitive cooperation on eHealth needed

• Government:E-Mental Health should be stimulated

eHealth: Betere Healthcare, jobs and business

European eHealth market 2020:€ 30 miljard

Dutch E-Health: an overview (4)

Infrastructure (2008):• Broadband penetration (households)

81%• GSM/GPRS coverage (population)

99%• Mobile broadband (UMTS) coverage

95%

Business opportunities and barriers

Opportunities• Increasing competitiveness (insurance companies, care

providers)• Demand for Quality of Care• Demand for triple A care: Anytime, Anyplace, Anywhere• Empowering of patients / care consumers• Demand for efficiency• World leading infrastructure

Barriers• Still: “perverse incentives”• Cost and revenue sharing models are still experimental• Lack of legal certainty

Reimbursement rules e-Mental health:

•Face-to-face

•Ear-to-ear

•Bit-to-bit

Pim Ketelaar

Nederlandse Vereniging voor eHealth (NVEH)www.nveh.nl

voorzitter@nveh.nl